Molecular epidemiology and antifungal susceptibility patterns of Sporothrix schenckii isolates from a cat-transmitted epidemic of sporotrichosis in Rio de Janeiro, Brazil

Since 1998 a cat-transmitted epidemic of sporotrichosis has been observed in Rio de Janeiro (RJ), Brazil. Besides the lymphocutaneous and fixed forms, other presentations, such as disseminated cutaneous and mucosal involvement, as well as for the first time, erythema nodosum and erythema multiforme...

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Veröffentlicht in:Medical mycology (Oxford) 2008-03, Vol.46 (2), p.141-151
Hauptverfasser: Clara Gutierrez Galhardo, Maria, Maria Zancopé De Oliveira, Rosely, Carlos Francesconi Do Valle, Antonio, De Almeida Paes, Rodrigo, Morais E Silvatavares, Patricia, Monzon, Araceli, Mellado, Emilia, Rodriguez-Tudela, Juan L, Cuenca-Estrella, Manuel
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container_title Medical mycology (Oxford)
container_volume 46
creator Clara Gutierrez Galhardo, Maria
Maria Zancopé De Oliveira, Rosely
Carlos Francesconi Do Valle, Antonio
De Almeida Paes, Rodrigo
Morais E Silvatavares, Patricia
Monzon, Araceli
Mellado, Emilia
Rodriguez-Tudela, Juan L
Cuenca-Estrella, Manuel
description Since 1998 a cat-transmitted epidemic of sporotrichosis has been observed in Rio de Janeiro (RJ), Brazil. Besides the lymphocutaneous and fixed forms, other presentations, such as disseminated cutaneous and mucosal involvement, as well as for the first time, erythema nodosum and erythema multiforme have been reported associated with sporotrichosis. This study investigates the phenotypes and genotypes of Sporothrix schenckii isolates recovered from different clinical forms of the disease noted as part of this epidemic. A total of 88 isolates recovered from 59 cases associated with the epidemic and 29 controls (from cases in other Brazilian regions and Spain) were included in this study. In vitro susceptibility testing was conducted as part of the phenotypic analysis, while the genotypic analysis involved a DNA fingerprinting method with primer M13 and ribosomal DNA sequencing of the internal transcribed spacer (ITS). MIC values of amphotericin B, itraconazole, posaconazole, ravuconazole, and terbinafine were found to be significantly lower (P
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Besides the lymphocutaneous and fixed forms, other presentations, such as disseminated cutaneous and mucosal involvement, as well as for the first time, erythema nodosum and erythema multiforme have been reported associated with sporotrichosis. This study investigates the phenotypes and genotypes of Sporothrix schenckii isolates recovered from different clinical forms of the disease noted as part of this epidemic. A total of 88 isolates recovered from 59 cases associated with the epidemic and 29 controls (from cases in other Brazilian regions and Spain) were included in this study. In vitro susceptibility testing was conducted as part of the phenotypic analysis, while the genotypic analysis involved a DNA fingerprinting method with primer M13 and ribosomal DNA sequencing of the internal transcribed spacer (ITS). MIC values of amphotericin B, itraconazole, posaconazole, ravuconazole, and terbinafine were found to be significantly lower (P&lt;0.01) for isolates associated with the epidemic than for control strains. No differences in MIC values were observed related to clinical forms of the infection. Fingerprinting analysis showed that RJ epidemic strains were genetically related. Although nine subtypes were found, they were not associated with specific clinical forms. Similar results were obtained with the ITS sequence analysis. 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subjects Animals
Antifungal Agents
Brazil
Cats
DNA, Ribosomal Spacer - analysis
Microbial Sensitivity Tests
Molecular Epidemiology
Mycological Typing Techniques
Sporothrix - genetics
Sporothrix - isolation & purification
Sporothrix schenckii
Sporotrichosis - epidemiology
Sporotrichosis - etiology
Sporotrichosis - pathology
Sporotrichosis - transmission
Zoonoses - transmission
title Molecular epidemiology and antifungal susceptibility patterns of Sporothrix schenckii isolates from a cat-transmitted epidemic of sporotrichosis in Rio de Janeiro, Brazil
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