Aims: The in vitro antifungal activity of Brazilian green and red propolis was tested against different species of Trichophyton. Methods and Results: The antifungal activity of the Brazilian aqueous and alcoholic extracts of the green propolis and the alcoholic extract of red propolis was observed against Trichophyton rubrum, Trichophyton tonsurans and Trichophyton mentagrohytes samples, using as controls itraconazole and terbinafine. The minimal inhibitory concentration was determined following the microdilution method indicated by the ‘Clinical and Laboratory Standards Institute’. The minimal fungicide concentration was determined by the absence of growth in liquid sabouraud culture medium. The data obtained showed that the green propolis alcoholic extract’s antifungal activity was from 64 to 1024 μg ml−1, whereas the red propolis alcoholic extract was from 8 to 1024 μg ml−1. Conclusions: The antifungal activity of the red propolis alcoholic extract was more efficient than the green propolis alcoholic extract for all three species studied. The T. rubrum samples were shown to be more sensitive to the antifungal activity of the alcoholic extracts of the propolis. Significance and Impact of the Study: The antifungal potential of the alcoholic extracts of green and red propolis demonstrated suggest an applicable potential as an alternative treatment for dermatophytosis caused by these species.
Onychomycosis in HIV/AIDS patients presents various clinical manifestations and may be caused by emerging fungi. The peculiarities presented by different fungal agents justify the need for identification to species level, with the purpose of guiding better therapeutic approaches and minimizing these patients' exposure to conditions presenting a risk of disseminated infection.
Emerging fungal pathogens are associated with significant morbidity and mortality in the immunocompromised host. The association of fungi from the Fusarium genus with human infection in uncommon. The objective of this paper is to report the first case of fungaemia caused by Fusarium lateritium in a 42-year-old HIV-infected patient. Members of the genus Fusarium are ubiquitous fungi uncommonly associated with human infection. However, they have been described as emerging fungal pathogens associated with significant morbidity and mortality in immunocompromised hosts (2,6).Human infection usually occurs as a result of inoculation of organism through the body surface, thus causing skin infection, onychomycosis, keratitis, fungaemia, endophtalmitis and arthritis. The disseminated form may occur in patients with severe immunodeficiency (2), although rarely found in HIVpositive or AIDS patients (4).Species of Fusarium cause spread illness, but the invasive form has recently emerged as the more common etiological agent after solid-organ transplantation (9,10). Considering the increasing number of cases of HIV and the susceptibility to opportunistic mycosis, the objective of this study is to relate the first case of fungaemia caused by Fusarium lateritium in a HIV-positive patient.The patient is a 42-year-old Brazilian male, living as a gardener in Recife Metropolitan Region -Pernambuco State, Brazil. Upon arrival to the Hospital Correia Picanço ambulatory, Recife, PE, Brazil, the patient was submitted to physical examination, and skin lesions, necrotic nodules, axillar furuncle, fever, erythematous papules and abscesses were observed. Laboratory tests revealed 434/mm3 CD4 blood cells counts and 4.670 copies/mm 3 of viral load. Venous blood samples were aseptically collected in three consecutive days, by venipuncture into VACUTAINER® tubes using EDTA anticoagulant. The samples were subcultured in biphasic Brain Heart Infusion (BHI) and incubated at 36.5°C for five days. The mycological diagnosis was carried out in the Medical Mycology Laboratory of Federal University of Pernambuco, Recife, PE, Brazil.Pure cultures were transferred to the surface of potato dextrose agar medium for taxonomic identification. The isolates were identified based on macroscopic and microscopic properties (1,8).Among the numerous colonies on potato dextrose agar maintained at room temperature, one attained a diameter of 2.5cm after four days. The fungus presented slow growth and sparse aerial mycelium. Macroconidia were long with parallel walls, and the apical cells had a distinct beak shape, while basal cells were foot-shaped. Microconidial shapes varied from oval to spindle and kidney-shaped. Branched and unbranched monophialides were observed, and chlamydospores appeared singly (Fig. 1). This fungus was subsequently identified as F. lateritium based on Booth and Nelson (1,8). The strain was deposited in the URM Culture Collection of the Department of
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