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Resumen La mucormicosis es una infección fúngica poco frecuente causada por hongos del orden Mucorales, la cual se presenta en individuos inmunocomprometidos o con pérdida de la integridad de la barrera de piel o mucosas. Se reportan cuatro casos de mucormicosis rinocerebral atendidos en un hospital de tercer nivel de Cali (Colombia) durante un periodo de tres años. Los cuatro pacientes presentaron diferentes cuadros clínicos y tiempos de evolución. Todos tenían diagnóstico de diabetes mellitus de tipo 2, de novo o previo, con una hemoglobina glucosilada de ingreso mayor del 10 % y en todos se descartaron otras enfermedades que explicaran su compromiso inmunitario. La mucormicosis se diagnosticó por la visualización directa de hifas hialinas sincitiales (coenocytic) en las biopsias tomadas. El pilar del tratamiento fue la anfotericina B liposómica junto con el desbridamiento quirúrgico. Dos pacientes presentaron coinfección bacteriana. De los cuatro, uno firmó su egreso voluntario sin completar el tratamiento y otro falleció. Los dos pacientes restantes han asistido a los controles y han mostrado una adecuada evolución.

Abstract Mucormycosis is a rare fungal infection caused by fungi of the Mucorales order that occurs in immunocompromised individuals or with loss of skin or mucosa barrier integrity. This report presents four cases of rhinocerebral mucormycosis attended at a third-level hospital in Cali (Colombia) during a period of three years. All patients had different case histories and times of evolution. All four had a previous or de novo diagnosis of type 2 diabetes mellitus, with glycated hemoglobin higher than 10% on admission. We ruled out other possible pathologies that could explain their immunocompromised condition. Mucormycosis diagnosis was made with direct visualization of hyaline coenocytic hyphae on biopsies. The basis of treatment was liposomal amphotericin B and surgical debridement. Two patients presented bacterial coinfection. One asked for voluntary discharge without having completed the treatment, and another one died. The remaining two have attended controls and had an adequate evolution.

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This systematic review integrates the data available in the literature regarding the biological activities of the extracts of endophytic fungi isolated from Annona muricata and their secondary metabolites. The search was performed using four electronic databases, and studies' quality was evaluated using an adapted assessment tool. The initial database search yielded 436 results; ten studies were selected for inclusion. The leaf was the most studied part of the plant (in nine studies); Periconia sp. was the most tested fungus (n = 4); the most evaluated biological activity was anticancer (n = 6), followed by antiviral (n = 3). Antibacterial, antifungal, and antioxidant activities were also tested. Terpenoids or terpenoid hybrid compounds were the most abundant chemical metabolites. Phenolic compounds, esters, alkaloids, saturated and unsaturated fatty acids, aromatic compounds, and peptides were also reported. The selected studies highlighted the biotechnological potentiality of the endophytic fungi extracts from A. muricata. Consequently, it can be considered a promising source of biological compounds with antioxidant effects and active against different microorganisms and cancer cells. Further research is needed involving different plant tissues, other microorganisms, such as SARS-CoV-2, and different cancer cells.

Esta revisão sistemática integra os dados disponíveis na literatura sobre as atividades biológicas dos extratos de fungos endofíticos isolados de Annona muricata e seus metabólitos secundários. A busca foi realizada em quatro bases de dados eletrônicas e a qualidade dos estudos foi avaliada por meio de instrumento de avaliação adaptado. A pesquisa inicial no banco de dados gerou 436 resultados; dez estudos foram selecionados para inclusão. A folha foi a parte mais estudada da planta (em nove estudos); Periconia sp. foi o fungo mais testado (n = 4); a atividade biológica mais avaliada foi anticâncer (n = 6), seguida de antiviral (n = 3). As atividades antibacteriana, antifúngica e antioxidante também foram testadas. Terpenóides ou compostos híbridos de terpenóides foram os metabólitos químicos mais abundantes. Compostos fenólicos, ésteres, alcalóides, ácidos graxos saturados e insaturados, compostos aromáticos e peptídeos também foram relatados. Os estudos selecionados destacaram a potencialidade biotecnológica dos extratos de fungos endofíticos de A. muricata. Por conseguinte, esta planta pode ser considerada uma fonte promissora de compostos biológicos com efeitos antioxidantes e ativos contra diversos micro-organismos e células cancerígenas. Mais pesquisas são necessárias envolvendo diferentes tecidos vegetais, outros microorganismos, como SARS-CoV-2, e diferentes células cancerosas.

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Introducción. La tiña de la cabeza es una micosis que se presenta en el tejido queratinizado, afecta al cuero cabelludo y puede causar alopecia, prurito y descamación. Este tipo de micosis es más frecuente en niños de edad escolar, por lo que puede desencadenar un problema de salud pública. En Colombia, los principales agentes etiológicos reportados son los dermatofitos zoofílicos. Objetivo. En el presente estudio se buscó caracterizar un brote de tinea capitis en 32 niños de un colegio de la zona rural del departamento del Cauca. Materiales y métodos. Se llevó a cabo una investigación epidemiológica de campo en la que se aplicó una encuesta estructurada para caracterizar aspectos sociodemográficos y factores predisponentes para su ocurrencia. Se recolectaron muestras de escamas de cuero cabelludo y cabellos afectados para estudios micológicos. Finalmente, por medio de la Secretaría Departamental del Cauca y del hospital local, se manejó el brote de tinea capitis y se hicieron recomendaciones a los niños, los padres de familia y la población en general para prevenir estas micosis. Este estudio contó con el consentimiento informado verbal por parte de los padres de familia y los niños. Resultados. El agente etiológico aislado en el 63 % de las muestras recolectadas fue Trichophyton tonsurans y el principal factor predisponente para esta micosis fue compartir máquinas rasuradoras (87,5 %). El agente etiológico de este brote de tinea capitis no inflamatoria fue un dermatofito antropofílico. Conclusión. Idealmente, se deben practicar los estudios micológicos con el fin de establecer el agente etiológico y, así, plantear las terapéuticas y recomendaciones según las guías de manejo. Además, se debe realizar un trabajo multidisciplinario para el control del brote y la educación de la población respecto a esta micosis.

Introduction. Tinea capitis is a mycosis of keratinized tissue, which affects the scalp and may cause alopecia, pruritus, and desquamation. This type of mycosis is more frequent in school-age children, and it may represent a public health problem; the main etiological agents reported for Colombia are zoophilic dermatophytes. Objective. To characterize an outbreak of Tinea capitis in 32 children from a rural school in the department of Cauca. Materials and methods. We conducted an epidemiological field study using a structured survey to characterize sociodemographic aspects and predisposing factors for this mycosis. We collected samples of affected scalp scales and hair for mycological studies. The children and the general population received recommendations, about these mycoses' prevention, from Cauca's health authorities and the local hospital. The parents verbally approved the informed consent. Results. The etiological agent isolated in 63% of the collected samples was Trichophyton tonsurans, an anthropophilic dermatophyte, and the main predisposing factor was sharing razors (87.5%). Conclusions. Ideally, mycological studies define the etiological agent to propose therapeutics and recommendations in agreement with management guidelines. Implementation of multidisciplinary measures to control the outbreak and educate the population is required.

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Natural and human-made disasters have long played a role in shaping the environment and microbial communities, also affecting non-microbial life on Earth. Disaster microbiology is a new concept based on the notion that a disaster changes the environment causing adaptation or alteration of microbial populations-growth, death, transportation to a new area, development traits, or resistance-that can have downstream effects on the affected ecosystem. Such downstream effects include blooms of microbial populations and the ability to colonize a new niche or host, cause disease, or survive in former extreme conditions. Throughout history, fungal populations have been affected by disasters. There are prehistoric archeological records of fungal blooms after asteroid impacts and fungi implicated in the fall of the dinosaurs. In recent times, drought and dust storms have caused disturbance of soil fungi, and hurricanes have induced the growth of molds on wet surfaces, resulting in an increased incidence of fungal disease. Probably, the anticipated increase in extreme heat would force fungi adaptation to survive at high temperatures, like those in the human body, and thus be able to infect mammals. This may lead to a drastic rise of new fungal diseases in humans.

Los desastres naturales o los causados por el hombre impactan la formación de ecosistemas y comunidades microbianas, y también afectan las formas de vida no microbianas. Este concepto es conocido como "microbiología de desastres", una subespecialización de la microbiología, basada en los cambios ambientales generados por un desastre y las posibles adaptaciones o alteraciones de las poblaciones microbianas -crecimiento, muerte, trasporte a una nueva región, o adquisición de resistencia o de nuevas características- que influirán en el moldeamiento del ecosistema transformado. Algunos de los efectos de estas adaptaciones pueden ser: el surgimiento de poblaciones microbianas, la habilidad de colonizar nuevos nichos u huéspedes, la generación de nuevas enfermedades, o el crecimiento de microorganismos en condiciones que antes eran "extremas" para ellos. A lo largo de la historia, varias poblaciones de hongos han sido afectadas por desastres. Existen registros arqueológicos prehistóricos que evidencian la presencia y el crecimiento de hongos luego del impacto de asteroides, y otros de hongos relacionados con la extinción de los dinosaurios. Actualmente, las sequías y las tormentas de polvo causan perturbaciones en las comunidades de hongos del suelo, y los huracanes inducen el crecimiento de hongos filamentosos en superficies húmedas, lo que aumenta la cantidad de enfermedades por hongos. Además, con el aumento de las temperaturas extremas es posible que los hongos puedan adaptarse para sobrevivir a temperaturas más altas, equivalentes a las temperaturas corporales, y nuevas especies puedan infectar mamíferos. Esto puede llevar a un aumento drástico de las infecciones fúngicas en humanos.

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En noviembre del año 2015 nos incorporamos al Laboratorio de Micología del Servicio de Microbiología del Hospital Garrahan. En este breve resumen queremos compartir los avances logrados a través de nuestra experiencia durante siete años de trabajo profesional. Debido a los diagnósticos realizados y su complejidad, consideramos que el Hospital Garrahan, sus pacientes y la comunidad toda necesitan contar con un laboratorio de Micología que responda a sus necesidades. Creemos haber iniciado un camino que esperamos continúe y culmine con la creación de la Unidad de Micología (AU)

In November 2015 we joined the Mycology Laboratory of the Microbiology Service of the Hospital Garrahan. In this brief summary we want to share the advances achieved through our experience during seven years of professional work. Due to the diagnosis made and their complexity, we believe that the Hospital Garrahan, its patients and the entire community, need to have a Mycology laboratory that responds to their requirements. We believe we have started a path that we hope will continue and culminate with the creation of the Mycology Unit (AU)

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The present study aimed to isolate endophilic fungi from plant tissues (leaves, stems and roots) of beans, in addition to identifying them at the genus level. The experiment was conducted at IDR-Londrina. Bean samples were collected at the Londrina Research Station and at UENP-Bandeirantes. The leaves, stems and roots were separated; fragments of 5 mm diameter were cut and disinfested. They were later transferred to BDA culture medium. The plates were incubated at room temperature for seven days for growth of the microorganisms present. The presence and absence, colonization rate (TC) for each tissue and gender identification of fungi were evaluated. The experiment was conducted in a completely randomized design, with five replications. Forty-eight endophilic isolates were found, 13 in root, 17 in stem and 18 in leaf. CT ranged from 17-100% (leaf), 17-83% (stem) and 16-100% (root). The genus Alternaria sp. and Cladosporium sp. have greater specificity with the leaf and stem, Penicillium sp. root and stem. The genera Fusarium sp. and Aspergillus sp. are found in all organs, Curvularia sp., Nigrospora sp. and Thichoderma sp. demonstrated leaf specificity, Macrophomina sp. the root, and Colletotrichum sp. to the stem. Thus, the identified fungi present potential for future studies in their application in the biocontrol of various plant diseases.

O presente estudo teve como objetivo realizar o isolamento de fungos endofíticos dos tecidos vegetais (folhas, caules e raízes) de feijão, além de identifica-los a nível de gênero. O experimento foi conduzido no IDR-Londrina. Amostras de feijão foram coletadas na Estação de Pesquisa de Londrina e na UENP-Bandeirantes. Foram separadas as folhas, caules e raízes, cortados fragmentos de 5 mm diâmetro e desinfestados. Posteriormente foram transferidos para meio de cultura BDA. As placas foram incubadas à temperatura ambiente por sete dias, para crescimento dos microrganismos presentes. Foram avaliados a presença e ausência, taxa de colonização (TC) para cada tecido e identificação a nível de gênero dos fungos. O experimento foi conduzido em delineamento inteiramente casualizado, com cinco repetições. Encontrou-se 48 isolados endofíticos, sendo 13 em raiz, 17 em caule e 18 em folha. A TC variou de 17-100% (folha), de 17-83% (caule) e 16-100% (raiz). O gênero Alternaria sp. e Cladosporium sp. apresentam especificidade maior com a folha e caule, o Penicillium sp. com raiz e caule. Os gêneros Fusarium sp. e Aspergillus sp. são encontrados em todos os órgãos, Curvularia sp., Nigrospora sp. e Thichoderma sp. demonstraram especificidade em folha, Macrophomina sp. a raiz, e Colletotrichum sp. ao caule. Dessa forma, os fungos identificados apresentam-se com potencial para futuros estudos em sua aplicação no biocontrole de diversas doenças de plantas.

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A Cryptococose é uma doença fúngica, oportunista, de caráter ubiquitária e crescente em número de casos nos últimos anos. Considerada atualmente como um problema de saúde pública, pode ocasionar doença em muitos hospedeiros, inclusive no homem. A infecção ocorre em decorrência da inalação de basidiósporos ou leveduras desidratadas infectantes presentes no ambiente. O gênero Cryptococcus caracteriza-se por ser uma levedura normalmente encapsulada, responsável por infecção sistêmica, causada principalmente pelas espécies, Cryptococcus neoformans e Cryptococcus gattii, comumente encontrada em substratos de origem animal, como excretas de aves, vegetais, e em troncos ocos de árvores, embora, com o avanço dos estudos, o envolvimento de outras espécies nas infecções humanas venha sendo cada vez mais relatada.Com o objetivo de conhecer a ecoepidemiologia do Cryptococcus spp em 30 amostras de material putrefado de árvores e 30 amostras excretas de aves de 10 locais representativos no perímetro do Instituto Lauro de Souza Lima-Bauru, buscamos conhecer a ecoepidemiologia desses agentes e posterior, profilaxia, minimizando riscos de contágio. As amostras foram processadas e semeadas em placas contendo ágar semente de níger e ágar Sabouraud Dextrose com cloranfenicol, incubadas a temperatura de 30°C e observadas diariamente por dez dias. O crescimento de leveduras com características de Cryptococcus spp foram avaliadas pelo aspecto colonial nos meios de cultivo e pela realização de exames diretos com tinta da China e com lactofenol azul de algodão através da análise dos aspectos micromorfológicos. As leveduras analisadas foram submetidas as provas bioquímicas como; produção de urease, produção de fenoloxidase no ágar semente de níger, termotolerância a 37°C e quimiotipagem em ágar CGB (L-canavanina-glicina-azul de bromotimol). Os dados obtidos foram avaliados estatisticamente pelo Teste exato de Fisher e pelo teste qui-quadrado, adotando o nível de significância de 5% e demonstrando crescimento de C.neoformans, C.gattii e C. Laurentii (Papiliotrema laurentii), concluindo que esses fungos podem infectar o ambiente.

Cryptococcosis is a fungal, opportunistic and ubiquitous disease which is increasing in number of cases in recent years. Currently considered as a public health problem, it can cause disease in many hosts, including humans. The infection occurs as a result of inhalation of basidiospores or dehydrated infective yeasts present in the environment. The genus Cryptococcus is characterized as a normally encapsulated yeast, responsible for systemic infection, mainly caused by the species, Cryptococcus neoformans and Cryptococcus gattii, commonly found in substrates of animal origin, such as Bird droppings, vegetables, and in tree hollows, although, with the advancement of studies, the involvement of other species in human infections has been increasingly reported. With the aim of knowing the ecoepidemiology of Cryptococcus spp in 30 samples of putrefying material from trees and 30 samples of bird droppings from 10 representative sites in the Instituto Lauro de Souza Lima-Bauru (ILSL), we sought to know the ecoepidemiology of these agents and later, prophylaxis, minimizing the risk of contagion. The samples were processed and seeded on plates containing niger seed agar and Sabouraud Dextrose agar with chloramphenicol, incubated at 30°C and observed daily for ten days. The growth of yeasts with characteristics of Cryptococcus spp were evaluated by the colonial appearance in the fungus culture and by performing direct examinations with China ink and cotton blue lactophenol through the analysis of micromorphological aspects. The analyzed yeasts were submitted to biochemical tests such as; urease production, phenoloxidase production on niger seed agar, thermotolerance at 37°C and chemotyping on CGB agar (L-canavanine-glycine-bromothymol blue). The data obtained were statistically evaluated using Fisher's exact test and the chi-square test, adopting a significance level of 5%. Cryptococcus neoformans, Cryptococcus gattii and Cryptococcus laurentii were isolated.

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Fungal dermatitis is classified into superficial, cutaneous and subcutaneous mycoses. However, the incidence of fungal dermatitis in small mammals is relatively low. Among rodents guinea pig the most affected specie, however it usually has an asymptomatic pattern. The present text reports an unusual case of fungal dermatitis in Caviaporcelluscaused by Scopulariopsis brevicaulis. The animal was received with complaint of alteration of coat around the neck, as well as report of incorrect feeding management. During the physical examination the presence of a dry and crusty dermatitis, negative on fluorescence test of wood. Samples of blood, skin, scabs and hair were collected for parasitic and mycological analysis. The hematological evaluation showed only a discrete eosinophilia; no ectoparasites were observed, but it was noticed the presence of Scopulariopsis brevicaulis. The animal underwent terbinafine and griseofulvin protocol, with total regression of the lesions after 30 days. S. brevicaulis is an unusual geophilic fungus causing animal mycosis, presenting more pathological reports in human mycoses, thus, representing a zoonotic potential. According to the clinical findings and results obtained from mycology assay, it was diagnosed dermatitis by Scopulariopsis brevicaulis, secondary to nutritional deficiency. The combined use of topical terbinafine with systemic griseofulvin was efficient in the treatment. Finally, it was recommended a dietary correction.(AU)

As dermatites fúngicas são classificadas em micoses superficiais, micoses cutâneas e micoses subcutâneas. No entanto, a ocorrência de dermatites fúngicas em pequenos mamíferos é incomum, sendo que entre os roedores o porquinho da Índia é a espécie mais acometida e a infecção costuma ser assintomática. O presente artigo relata um caso incomum de dermatite fúngica em Cavia porcellus causado pelo fungo Scopulariopsis brevicaulis. O animal foi atendido devido à queixa de alteração de pelagem ao redor do pescoço e erros no manejo alimentar. Durante o exame físico observou-se a presença de uma derma-tite crostosa de aparência seca, negativa no teste de fluorescência sob lâmpada de Wood para detectar dermatófitos. Foi cole-tado sangue e também amostras de pele, crostas e pelos para análise parasitária e cultivo micológico. Na avaliação hematoló-gica observou-se apenas uma eosinofilia discreta, no parasitológico não foram observados ectoparasitas. No cultivo micológico foi isolado Scopulariopsis brevicaulis. O animal foi tratado com terbinafina e griseofulvina havendo regressão total das lesões após 30 dias de terapia antifúngica. S. brevicaulis é um fungo geofílico incomum em casos de micose em animais, sendo mais relatado em micoses humanas e havendo um potencial zoonótico. Assim, baseado nos achados clínicos e exames laboratoriais concluiu-se que o caso se tratava de uma dermatite fúngica causada por Scopulariopsis brevicaulis secundária a deficiência nutri-cional, sendo que o uso combinado de terbinafina tópica com a griseofulvina sistêmica foi eficiente no tratamento em com-binação com a correção da dieta alimentar.(AU)

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Fungal dermatitis is classified into superficial, cutaneous and subcutaneous mycoses. However, the incidence of fungal dermatitis in small mammals is relatively low. Among rodents guinea pig the most affected specie, however it usually has an asymptomatic pattern. The present text reports an unusual case of fungal dermatitis in Caviaporcelluscaused by Scopulariopsis brevicaulis. The animal was received with complaint of alteration of coat around the neck, as well as report of incorrect feeding management. During the physical examination the presence of a dry and crusty dermatitis, negative on fluorescence test of wood. Samples of blood, skin, scabs and hair were collected for parasitic and mycological analysis. The hematological evaluation showed only a discrete eosinophilia; no ectoparasites were observed, but it was noticed the presence of Scopulariopsis brevicaulis. The animal underwent terbinafine and griseofulvin protocol, with total regression of the lesions after 30 days. S. brevicaulis is an unusual geophilic fungus causing animal mycosis, presenting more pathological reports in human mycoses, thus, representing a zoonotic potential. According to the clinical findings and results obtained from mycology assay, it was diagnosed dermatitis by Scopulariopsis brevicaulis, secondary to nutritional deficiency. The combined use of topical terbinafine with systemic griseofulvin was efficient in the treatment. Finally, it was recommended a dietary correction.

As dermatites fúngicas são classificadas em micoses superficiais, micoses cutâneas e micoses subcutâneas. No entanto, a ocorrência de dermatites fúngicas em pequenos mamíferos é incomum, sendo que entre os roedores o porquinho da Índia é a espécie mais acometida e a infecção costuma ser assintomática. O presente artigo relata um caso incomum de dermatite fúngica em Cavia porcellus causado pelo fungo Scopulariopsis brevicaulis. O animal foi atendido devido à queixa de alteração de pelagem ao redor do pescoço e erros no manejo alimentar. Durante o exame físico observou-se a presença de uma derma-tite crostosa de aparência seca, negativa no teste de fluorescência sob lâmpada de Wood para detectar dermatófitos. Foi cole-tado sangue e também amostras de pele, crostas e pelos para análise parasitária e cultivo micológico. Na avaliação hematoló-gica observou-se apenas uma eosinofilia discreta, no parasitológico não foram observados ectoparasitas. No cultivo micológico foi isolado Scopulariopsis brevicaulis. O animal foi tratado com terbinafina e griseofulvina havendo regressão total das lesões após 30 dias de terapia antifúngica. S. brevicaulis é um fungo geofílico incomum em casos de micose em animais, sendo mais relatado em micoses humanas e havendo um potencial zoonótico. Assim, baseado nos achados clínicos e exames laboratoriais concluiu-se que o caso se tratava de uma dermatite fúngica causada por Scopulariopsis brevicaulis secundária a deficiência nutri-cional, sendo que o uso combinado de terbinafina tópica com a griseofulvina sistêmica foi eficiente no tratamento em com-binação com a correção da dieta alimentar.

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Abstract The National Quality Control Program in Mycology (PNCCM) of Argentina was establishedin 1996 to improve the quality of the mycological diagnosis, to help establish and to setup standardized procedures and continuous training of laboratory staff. The aim of this studywas to assess the effectiveness of the PNCCM in the 1996---2018 period. Data from the NationalMycology Laboratory Network (NMLN) and PNCCM database was used to estimate the increasein the number of controlled laboratories and jurisdictions, the percentage of participation, theimprovement in the quality of results and the adherence to the program. Satisfaction surveyswere performed to assess user satisfaction. The number of controlled laboratories increasedfrom 29 to 146; participation increased from 49% to 93% and general adherence was 72% inthe evaluated period (1996---2018). Improvement in the quality of the results was 15% for lowcomplexity samples; 7% for intermediate complexity samples and 14% for the identification ofhigh complexity strains. Up to 84% of the users consider the PNCCM to be ''very good'' and 16%''satisfactory''. These results show the importance of the PNCCM, which is widely accepted bymycological diagnostic laboratories from Argentina.

Resumen En 1996 se creó el Programa Nacional de Control de Calidad en Micología (PNCCM)de Argentina con el objetivo de mejorar la calidad del diagnóstico micológico, colaborar enel establecimiento de procedimientos estandarizados en aquellos laboratorios que carecen deellos y contribuir a la capacitación continua del personal.El objetivo de este estudio fue evaluar la efectividad del PNCCM en el período 1996-2018.Se utilizaron los datos de la base de la Red Nacional de Laboratorios de Micología (RNLM) ydel PNCCM para estimar el aumento en el número de laboratorios controlados y el porcentajede participación, la mejora de la calidad de los resultados y la adhesión al programa. Paraevaluar el grado de satisfacción de los usuarios, se analizaron las encuestas de satisfacción delos participantes. En el período evaluado, el número de laboratorios controlados aumentó de 29a 146, la participación aumentó de 49% a 93% y la adherencia general de los participantes fue del72%. La mejora de la calidad de los resultados de los laboratorios fue del 15% para muestras debaja complejidad, 7% para muestras de complejidad intermedia y 14% para la identificación decepas de alta complejidad. El 84% de los usuarios considera que el PNCCM es muy bueno y el 16%que es satisfactorio. Estos resultados evidencian la importancia del PNCCM, que es ampliamenteaceptado por los laboratorios que realizan diagnóstico micológico en nuestro país.

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The National Quality Control Program in Mycology (PNCCM) of Argentina was established in 1996 to improve the quality of the mycological diagnosis, to help establish and to set up standardized procedures and continuous training of laboratory staff. The aim of this study was to assess the effectiveness of the PNCCM in the 1996-2018 period. Data from the National Mycology Laboratory Network (NMLN) and PNCCM database was used to estimate the increase in the number of controlled laboratories and jurisdictions, the percentage of participation, the improvement in the quality of results and the adherence to the program. Satisfaction surveys were performed to assess user satisfaction. The number of controlled laboratories increased from 29 to 146; participation increased from 49% to 93% and general adherence was 72% in the evaluated period (1996-2018). Improvement in the quality of the results was 15% for low complexity samples; 7% for intermediate complexity samples and 14% for the identification of high complexity strains. Up to 84% of the users consider the PNCCM to be "very good" and 16% "satisfactory". These results show the importance of the PNCCM, which is widely accepted by mycological diagnostic laboratories from Argentina.

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A suinocultura apresenta grande importância econômica no Brasil, que, na atualidade, detém a posição de quarto maior produtor de carne suína no mundo. O clima subtropical do País favorece o desenvolvimento de fungos e suas micotoxinas nos cereais que servem de alimento e matéria-prima para a ração de suínos. Entre as principais micotoxinas que afetam os suínos as aflatoxinas, ocratoxinas e fusariotoxinas, produzidas, respectivamente, por fungos dos gêneros Aspergillus, Penicillium e Fusarium, são as mais frequentes. O presente trabalho foi delineado para analisar os agentes etiológicos das micotoxicoses em suínos, destacando as suas características morfológicas, condições favoráveis de crescimento e formas de prevenção e controle da contaminação dos grãos. A metodologia adotada foi uma busca integrativa em bases bibliográficas como Scielo, Pubmed e Portal Capes. A identificação e conhecimento aprofundado destes fungos patogênicos leva ao melhor desenvolvimento de pesquisas voltadas à prevenção e controle, redução de perdas econômicas e manutenção da saúde animal.

Swine production has great economic importance in Brazil, which nowadays is the fourth largest producer of pork meat in the world. The country’s subtropical climate favors the development of fungi and their mycotoxins in cereals used as supply and raw material for swine nutrition. Among the main mycotoxins that affect pigs, the main are aflatoxins, ochratoxins and fusariotoxins, produced, respectivelly by fungi of genera Aspergillus, Penicillium and Fusarium. Therefore, the present paper was performed to analyze the etiological agents of mycotoxicosis in pigs, highlighting the morphological characteristics, favorable growth conditions and ways of preventing and controlling contamination of grains. The methodology applied was a review on bibliographic bases such as Scielo, Pubmed and Portal Capes. The identification and knowledge about these pathogenic fungi will leads to better development of research aimed at prevention and control, reduction of economic losses and maintenance of animal health.

Assuntos

RESUMO

A suinocultura apresenta grande importância econômica no Brasil, que, na atualidade, detém a posição de quarto maior produtor de carne suína no mundo. O clima subtropical do País favorece o desenvolvimento de fungos e suas micotoxinas nos cereais que servem de alimento e matéria-prima para a ração de suínos. Entre as principais micotoxinas que afetam os suínos as aflatoxinas, ocratoxinas e fusariotoxinas, produzidas, respectivamente, por fungos dos gêneros Aspergillus, Penicillium e Fusarium, são as mais frequentes. O presente trabalho foi delineado para analisar os agentes etiológicos das micotoxicoses em suínos, destacando as suas características morfológicas, condições favoráveis de crescimento e formas de prevenção e controle da contaminação dos grãos. A metodologia adotada foi uma busca integrativa em bases bibliográficas como Scielo, Pubmed e Portal Capes. A identificação e conhecimento aprofundado destes fungos patogênicos leva ao melhor desenvolvimento de pesquisas voltadas à prevenção e controle, redução de perdas econômicas e manutenção da saúde animal.(AU)

Swine production has great economic importance in Brazil, which nowadays is the fourth largest producer of pork meat in the world. The countrys subtropical climate favors the development of fungi and their mycotoxins in cereals used as supply and raw material for swine nutrition. Among the main mycotoxins that affect pigs, the main are aflatoxins, ochratoxins and fusariotoxins, produced, respectivelly by fungi of genera Aspergillus, Penicillium and Fusarium. Therefore, the present paper was performed to analyze the etiological agents of mycotoxicosis in pigs, highlighting the morphological characteristics, favorable growth conditions and ways of preventing and controlling contamination of grains. The methodology applied was a review on bibliographic bases such as Scielo, Pubmed and Portal Capes. The identification and knowledge about these pathogenic fungi will leads to better development of research aimed at prevention and control, reduction of economic losses and maintenance of animal health.(AU)

Assuntos

RESUMO

The present study analyzes influence of two cleaning and disinfection protocols on frequency of Aspergillus spp. in broiler facilities. We conducted an observational study, applying two cleaning and disinfection protocols before housing 960 one-day-old broilers randomly allocated in 32 boxes with 30 birds. We considered two types of housing as independent experiments, which differed as to the bedding. First experiment consisted of new bedding materials, which we reused in second experiment. We applied two different treatments, Common treatment included sweeping organic matter, humidifying residual material with low pressure water, washing with water and neutral detergent, with posterior rinsing. European treatment was according to the standards of the manufacturer of disinfectants. Procedures included dry and humid organic matter removal, humidification, washing with high pressure water, application of detergent, rinsing, and application of two compound disinfectants: glutaraldehyde (250 g/L) + formaldehyde (185 g/L); p-chloro-m-cresol (210 g/L). To evaluate the presence of Aspergillus spp., we collected samples from surfaces and equipment before and after cleaning and disinfection, at 7, 14, 28, and 42 days of experimental period. Mycological assessment included streaking on Petri dishes containing AFPA (Aspergillus Flavus and Parasiticus Agar, Sigma Aldrich®). Common cleaning and disinfection treatment led to a higher presence of fungus in floors and walls (83% vs. 0% p = 0.0030 and 50% vs. 0% p = 0.0450) in first and second experiments, respectively. As this study demonstrates by using the European procedures, performing a detailed cleaning and disinfection protocol reduces the presence of Aspergillus spp. in broiler facilities.(AU)

O presente estudo analisou a influência de dois protocolos de limpeza e desinfecção na frequência de Aspergillus spp. em instalações de frangos de corte. Realizou-se estudo observacional, aplicando-se dois protocolos de limpeza e desinfecção antes do alojamento de 960 pintainhos de um dia distribuídos aleatoriamente em 32 boxes com 30 aves. Foram realizados 2 experimentos independentes, que diferiam quanto ao material de cama, sendo nova no primeiro e reutilizada no segundo. Realizou-se dois tratamentos: Comum que incluiu varrição da matéria orgânica, umidificação do material residual com água sob baixa pressão, lavagem com detergente neutro e enxágue. O tratamento Europeu seguiu as recomendações do fabricante dos desinfetantes, incluindo remoção de matéria orgânica seca e úmida, umidificação, lavagem com água sob alta pressão, aplicação de detergente, enxágue e aplicação de dois desinfetantes compostos: glutaraldeído (250 g / L) + formaldeído (185 g / L); p-cloro-m-cresol (210 g / L). Foram coletadas amostras de superfícies e equipamentos antes e após a limpeza e desinfecção, aos 7, 14, 28 e 42 dias do período experimental para avaliação micológica, realizada em placas de Petri contendo AFPA (Aspergillus Flavus e Parasiticus Agar, Sigma Aldrich®). O tratamento Comum obteve maior presença de fungos nos pisos e paredes (83% vs. 0% p = 0,0030 e 50% vs. 0% p = 0,0450) no primeiro e segundo experimentos, respectivamente. Este estudo demonstra que a execução de um protocolo detalhado de limpeza e desinfecção, como o tratamento Europeu, reduz a presença de Aspergillus spp. em instalações de frangos de corte.(AU)

Assuntos

RESUMO

The present study analyzes influence of two cleaning and disinfection protocols on frequency of Aspergillus spp. in broiler facilities. We conducted an observational study, applying two cleaning and disinfection protocols before housing 960 one-day-old broilers randomly allocated in 32 boxes with 30 birds. We considered two types of housing as independent experiments, which differed as to the bedding. First experiment consisted of new bedding materials, which we reused in second experiment. We applied two different treatments, Common treatment included sweeping organic matter, humidifying residual material with low pressure water, washing with water and neutral detergent, with posterior rinsing. European treatment was according to the standards of the manufacturer of disinfectants. Procedures included dry and humid organic matter removal, humidification, washing with high pressure water, application of detergent, rinsing, and application of two compound disinfectants: glutaraldehyde (250 g/L) + formaldehyde (185 g/L); p-chloro-m-cresol (210 g/L). To evaluate the presence of Aspergillus spp., we collected samples from surfaces and equipment before and after cleaning and disinfection, at 7, 14, 28, and 42 days of experimental period. Mycological assessment included streaking on Petri dishes containing AFPA (Aspergillus Flavus and Parasiticus Agar, Sigma Aldrich®). Common cleaning and disinfection treatment led to a higher presence of fungus in floors and walls (83% vs. 0% p = 0.0030 and 50% vs. 0% p = 0.0450) in first and second experiments, respectively. As this study demonstrates by using the European procedures, performing a detailed cleaning and disinfection protocol reduces the presence of Aspergillus spp. in broiler facilities.

O presente estudo analisou a influência de dois protocolos de limpeza e desinfecção na frequência de Aspergillus spp. em instalações de frangos de corte. Realizou-se estudo observacional, aplicando-se dois protocolos de limpeza e desinfecção antes do alojamento de 960 pintainhos de um dia distribuídos aleatoriamente em 32 boxes com 30 aves. Foram realizados 2 experimentos independentes, que diferiam quanto ao material de cama, sendo nova no primeiro e reutilizada no segundo. Realizou-se dois tratamentos: Comum que incluiu varrição da matéria orgânica, umidificação do material residual com água sob baixa pressão, lavagem com detergente neutro e enxágue. O tratamento Europeu seguiu as recomendações do fabricante dos desinfetantes, incluindo remoção de matéria orgânica seca e úmida, umidificação, lavagem com água sob alta pressão, aplicação de detergente, enxágue e aplicação de dois desinfetantes compostos: glutaraldeído (250 g / L) + formaldeído (185 g / L); p-cloro-m-cresol (210 g / L). Foram coletadas amostras de superfícies e equipamentos antes e após a limpeza e desinfecção, aos 7, 14, 28 e 42 dias do período experimental para avaliação micológica, realizada em placas de Petri contendo AFPA (Aspergillus Flavus e Parasiticus Agar, Sigma Aldrich®). O tratamento Comum obteve maior presença de fungos nos pisos e paredes (83% vs. 0% p = 0,0030 e 50% vs. 0% p = 0,0450) no primeiro e segundo experimentos, respectivamente. Este estudo demonstra que a execução de um protocolo detalhado de limpeza e desinfecção, como o tratamento Europeu, reduz a presença de Aspergillus spp. em instalações de frangos de corte.

Assuntos

RESUMO

Reference fungal cultures (RFCs) are essential for the internal quality control of laboratories. The production of these cultures requires standardized procedures (IRAM 14950:2016 and ISO 17034:2016 standards) carried out by a recognized and accredited laboratory. The aim of this work was to produce RFC in paper disks of autochthonous strains, characterized by two, homogeneous and stable reference methods traceable at species level. RFC were produced using 14 regional species (7 yeasts and 7 filamentous fungi) from the fungal culture collection (DMic). Paper disks were impregnated with a culture suspension, dried and packed. Homogeneity, viability, identity and purity were verified. Short-and long-term stability at different temperatures and storage times were studied. Characterization of each strain allowed to confirm its identity and to ensure its traceability at international level. Produced batches were homogeneous and stable at -20 ±5 °C for 30 months. This method of production was adequate to produce homogeneous and stable RFC with phenotypic and genotypic characteristics correctly defined and internationally traceable. Standardized procedures were developed for the production of certified RFC that could be transferred to other microorganisms. Providing RFC that represent regional strains allows laboratories to produce more reliable results with a favorable impact on medical diagnosis, the environment or the food industry.

Los cultivos microbianos de referencia (CR) son imprescindibles para el control de calidad interno de los laboratorios. Asegurar su producción requiere de procedimientos estandarizados (IRAM 14950:2016 e ISO 17034:2016) realizados en un laboratorio reconocido y acreditado. El objetivo de este estudio fue producir cultivos fúngicos de referencia en discos de papel, a partir de un panel de cultivos autóctonos caracterizados por dos métodos de referencia, trazables a nivel taxonómico de especie, homogéneos y estables. Se produjeron CR de 14 especies circulantes en Argentina (7 de levaduras y 7 de hongos miceliales), depositadas en la colección de hongos de interés médico (DMic). Los discos de papel fueron embebidos con una suspensión del cultivo por producir, secados y envasados. Se verificó la homogeneidad, viabilidad, identidad y pureza de cada lote. Se evaluó la estabilidad a corto y largo plazo a distintas temperaturas y tiempos de almacenamiento. La caracterización de cada CR nos permitió confirmar su identidad y asegurar su trazabilidad a nivel internacional. Los lotes producidos fueron homogéneos y estables durante 30 meses conservados a -20 ±5 °C. Este método resultó adecuado para producir CR homogéneos y estables, con características fenotípicas y genotípicas correctamente definidas y trazables a nivel internacional. Los procedimientos estandarizados desarrollados en este trabajo pueden ser transferidos para producir CR certificados de otros microorganismos. La provisión de CR que represente cepas regionales permite a los laboratorios producir resultados más confiables con un impacto favorable en el diagnóstico médico, los estudios ambientales y la industria alimenticia.

Assuntos

RESUMO

Reference fungal cultures (RFCs) are essential for the internal quality control of laboratories. The production of these cultures requires standardized procedures (IRAM 14950:2016 and ISO 17034:2016 standards) carried out by a recognized and accredited laboratory. The aim of this work was to produce RFC in paper disks of autochthonous strains, characterized by two, homogeneous and stable reference methods traceable at species level. RFC were produced using 14 regional species (7 yeasts and 7 filamentous fungi) from the fungal culture collection (DMic). Paper disks were impregnated with a culture suspension, dried and packed. Homogeneity, viability, identity and purity were verified. Short- and long-term stability at different temperatures and storage times were studied. Characterization of each strain allowed to confirm its identity and to ensure its traceability at international level. Produced batches were homogeneous and stable at -20±5°C for 30 months. This method of production was adequate to produce homogeneous and stable RFC with phenotypic and genotypic characteristics correctly defined and internationally traceable. Standardized procedures were developed for the production of certified RFC that could be transferred to other microorganisms. Providing RFC that represent regional strains allows laboratories to produce more reliable results with a favorable impact on medical diagnosis, the environment or the food industry.

Assuntos

RESUMO

Resumen El diagnóstico de las micosis constituye un problema clínico y terapéutico de interés actual debido al incremento y gravedad de las infecciones diseminadas. Por esta razón, en los últimos años se ha priorizado la búsqueda de nuevos métodos para el diagnóstico rápido y preciso. En la actualidad contamos con métodos tradicionales como KOH, cultivo, histopatología y serología, y, de forma más reciente, con métodos moleculares que permiten mayor rapidez y sensibilidad. En esta revisión se hace énfasis en la importancia de los métodos de diagnóstico micológico para la dermatología y la medicina general, ya que debido al desconocimiento en este campo, la preparación del paciente no es la adecuada y, por otro lado, la dificultad en la interpretación de los resultados lleva a confusión y tratamientos incorrectos.

Abstract Diagnosis of fungal infections is a clinical and therapeutic problem of current interest due to the increase and severity of disseminated infections. For this reason in recent years have been mainly seeking new methods for fast and accurate diagnosis. At present we have traditional methods like KOH, culture, histopathology and serology, and more recently molecular methods that allow greater speed and sensitivity in diagnosis. This review emphasizes the importance of mycological diagnosis methods for dermatology and general medicine, as due to ignorance in this field, patient preparation is not adequate and secondly the difficulty in interpreting results and treatment choice are misleading.

RESUMO

Abstract Araçá Bay, located in the city of São Sebastião, São Paulo, Brazil, is a protected area of substantial complexity. It represents the last remaining mangrove swamp preserve between the cities of Bertioga and Ubatuba on the northern coast of São Paulo State. This mangrove swamp has specific physical and chemical properties, and it shelters a wide variety of life, including fungi. These microorganisms are present in a variety of species with different morphophysiological features, and they have the ability to produce enzymes of biotechnological importance. The goal of this study was to quantify, isolate, and identify filamentous fungi in water and sediment samples from the Araçá Bay mangrove swamp in São Sebastião. Two samplings were performed in the summer and two were performed in the winter. The samples were collected from intertidal zones, and dissolved oxygen (DO), temperature, salinity, and pH were measured in situ. The spread plate technique was used to inoculate the samples collected on plates with a potato dextrose agar (PDA) medium. A total of 208 colonies (68 from water samples and 140 from sediment samples) were isolated, and they were identified based on their morphological characteristics. Filamentous fungus density was higher in the sediment than in the water, and the samplings performed in the winter revealed a higher density than those performed in the summer. Though some of the environmental parameters were not ideal for fungal development, a high quantity of growth was nevertheless observed. When the isolated colonies were analyzed, the greatest diversity and species richness were found in the summer samples. The genera identified in all of the samples were Aspergillus, Penicillium, Cladosporium, and Fusarium. The pathogenic species found from these genera were Aspergillus fumigatus, A. terreus, Penicillium citrinum, and P. chrysogenum. These species are also able to produce enzymes that offer a variety of applications. The fungal community described herein represents the diversity found in this mangrove swamp during the period studied. Many of the fungus species found are pathogenic and may be useful due to their ability to produce specific enzymes applicable in the biotechnological and pharmaceutical industries.

Resumo A Baía do Araçá, localizada no município de São Sebastião (SP), é uma região protegida, de grande complexidade, mantendo o último remanescente preservado de manguezal entre Bertioga e Ubatuba, litoral Norte do Estado de São Paulo. Manguezal caracteriza-se com propriedades físico-químicas específicas e abriga grande diversidade de seres vivos, entre eles os fungos. Estes microrganismos apresentam grande variedade de espécies e diferentes características morfofisiológicas com capacidade de produzir algumas enzimas de importância biotecnológica. Este trabalho teve como objetivo quantificar, isolar e identificar fungos filamentosos em amostras de água e de sedimento do manguezal da Baía do Araçá, São Sebastião, (SP). Foram realizadas 2 coletas no verão e 2 no inverno na região entremarés, medidos "in situ" os parâmetros oxigênio dissolvido (OD), temperatura, salinidade e pH. Utilizou-se a Técnica "Spread Plate" para inocular os materiais coletados, em placas com meio Potato Dextrose Agar (PDA). Foram isoladas 208 colônias (68 das amostras de água e 140 das amostras de sedimento) e identificadas pelas características morfofisiológicas. As densidades de fungos filamentosos foram maiores no sedimento em relação à água e nas coletas realizadas no inverno demonstraram maiores densidades do que no verão. Apesar de alguns parâmetros ambientais não se apresentarem ideais para o desenvolvimento dos fungos, observou-se alta quantidade de crescimento nas amostragens. Analisando as colônias isoladas, a maior diversidade e riqueza foram observadas na amostragem coletado no verão. Foram observados os gêneros Aspergillus sp, Penicillium sp, Cladosporium sp e Fusarium sp em todas as amostragens, dos quais as espécies Aspergillus fumigatus, A. terreus, Penicillium citrinum e P. chrysogenum identificados neste trabalho são considerados patogênicos mas também são espécies capazes de produzir enzimas aplicáveis em diversas atividades. A comunidade fúngica descrita apresenta a diversidade encontrada neste manguezal em relação à variedade ambiental no período estudado, sendo que muitos apresentam patogenicidade e podem ser uteis pela sua capacidade de produzir enzimas específicas aplicáveis nos estudos biotecnológicos e farmacêuticos.

RESUMO

Buscando en los registros de las principales actividades de la Gerencia de Diagnóstico y Vigilancia Epidemiológica ha sido difícil elegir entre tantas vivencias, aquellos elementos que marcaron pauta durante la década 2008 ­ 2018. No obstante, es de resaltar que los desafíos afrontados ante la aparición de brotes, epidemias y la primera pandemia del siglo XXI, trajeron consigo un cúmulo de experiencias que se presentan en este artículo. Como centro nacional de referencia en las áreas de Bacteriología, Micología y Virología, continuamos aportando soluciones a la salud pública nacional mediante la actualización profesional de nuestro personal y la formación de la generación de relevo, en la que participan profesionales de excelencia, altamente especializados y sensibilizados con la problemática y los requerimientos de nuestra población. Asimismo, a través de la coordinación, supervisión y evaluación de la Red de laboratorios de salud pública, se contribuye con el fortalecimiento del diagnóstico de enfermedades transmisibles y vigilancia epidemiológica en el país. El trabajo realizado en estos diez años ha sido excelente, crucial y prioritario para enfrentar las emergencias. Debemos seguir trabajando en dos aspectos claves: 1. Mayor integración del laboratorio con el componente epidemiológico y clínico del país para ser más útiles al sistema de salud, y 2. Consolidar la creación del edificio sede del Centro de Diagnóstico de Enfermedades Transmisibles del Instituto Nacional de Higiene "Rafael Rangel" (INHRR), proyecto en el que estamos trabajando con la asesoría de la OPS/OMS.

Looking at the records of the main activities of the Diagnostic and Epidemiological Surveillance Management, it has been difficult to choose between many experiences, those elements that set the standard during the 2008 ­ 2018 decade. However, it is noteworthy that the challenges faced with the emergence of outbreaks, epidemics and the first pandemic of the 21st century, brought with it a wealth of experiences that are presented in this article. As a national reference center in Bacteriology, Mycology and Virology areas, we continue to provide solutions to public health through the professional updating of our staff and formation of the relief generation, in which participate professionals of excellence, highly specialized and sensitized with the problems and requirements of our population. Likewise, through the coordination, supervision and evaluation of the public health laboratories network, it contributes to the strengthening of the communicable diseases diagnosis and epidemiological surveillance in the country. The work done in these ten years has been excellent, crucial and priority to face emergencies. We must continue working on two key aspects: 1. Greater laboratory integration with the epidemiological and clinical component of the country to be more useful to the health system, and 2. Consolidate headquarters building creation of the National Institute of Hygiene "Rafael Rangel" (INHRR) Diagnostic Center for Communicable Diseases, project in which we are working with the PAHO / WHO advice.

Assuntos