The oil flotation isolation technique has been successfully applied to
recover chaetothyrialean black yeasts and relatives from the environment. The
selective mechanisms playing a role in isolation are unknown. The fungi
concerned are supposed to occupy specialized microniches in nature, taking
advantage of (1) oligotrophism. Mineral oil as a main selective agent may be
based on (2) hydrophobicity or on (3) assimilation. All three hypotheses are
tested in this paper. Results show that cell wall hydrophobicity is unlikely
to be a selective factor. Incubation under poor nutrient conditions provides
competitive advantage for black yeasts, especially for Exophiala
strains, which are subsequently enriched by mineral oil which enhances growth
in this group of fungi. Incubation under mineral media and mineral oil can be
used as selective factor.
SUMMARYThis study evaluated the applicability of kDNA-PCR as a prospective
routine diagnosis method for American tegumentary leishmaniasis (ATL) in patients
from the Instituto de Infectologia Emílio Ribas (IIER), a reference center for
infectious diseases in São Paulo - SP, Brazil. The kDNA-PCR method detected
Leishmania DNA in 87.5% (112/128) of the clinically suspected
ATL patients, while the traditional methods demonstrated the following percentages
of positivity: 62.8% (49/78) for the Montenegro skin test, 61.8% (47/76) for
direct investigation, and 19.3% (22/114) for in vitro culture.
The molecular method was able to confirm the disease in samples considered
negative or inconclusive by traditional laboratory methods, contributing to the
final clinical diagnosis and therapy of ATL in this hospital. Thus, we strongly
recommend the inclusion of kDNA-PCR amplification as an alternative diagnostic
method for ATL, suggesting a new algorithm routine to be followed to help the
diagnosis and treatment of ATL in IIER.
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