2020
DOI: 10.3390/jof6020084
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Clinical Relevance and Characteristics of Aspergillus calidoustus and Other Aspergillus Species of Section Usti

Abstract: The Aspergilli of section Usti (group ustus) are represented by over 20 species, of which Aspergillus calidoustus is the most relevant human pathogen. Invasive aspergillosis (IA) caused by these fungi is rare but could represent an emerging issue among the expanding population of patients with long-term immunosuppression receiving antifungal prophylaxis. Clinicians should be aware of this unusual type of IA, which often exhibits distinct clinical features, such as an insidious and prolonged course and a high o… Show more

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Cited by 13 publications
(10 citation statements)
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“…Category A and B strains identified as A. flavus, A. niger, A. tubingensis, A. calidoustus, and A. fumigatus as well as R. arrhizus, T. longibrachiatum and P. variotii are well known as toxigenic and pathogenic species, representing risk group 2 organisms as defined by the European Parlament (2000) Directive 2000/54/EC. [ 1 , 2 , 12 , 13 , 32 , 33 ]. Interestingly, the A. flavus species contained two morphotypes differing in their ability to grow at pH 7.2 and 37 °C, possibly also reflecting a difference in pathogenic potential.…”
Section: Discussionmentioning
confidence: 99%
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“…Category A and B strains identified as A. flavus, A. niger, A. tubingensis, A. calidoustus, and A. fumigatus as well as R. arrhizus, T. longibrachiatum and P. variotii are well known as toxigenic and pathogenic species, representing risk group 2 organisms as defined by the European Parlament (2000) Directive 2000/54/EC. [ 1 , 2 , 12 , 13 , 32 , 33 ]. Interestingly, the A. flavus species contained two morphotypes differing in their ability to grow at pH 7.2 and 37 °C, possibly also reflecting a difference in pathogenic potential.…”
Section: Discussionmentioning
confidence: 99%
“…The category C strains identified as A. westerdijkiae , A. versicolor , C. globosum and C. cochliodes represented risk group 1 organisms according to Directive 2000/54/EC [ 32 ] and include species known to cause superficial infections, onychomycoses and rare invasive infections in immunocompromised patients [ 4 , 11 , 12 ]. Interestingly, strains of the risk group 1 species T. atroviride tested negative for growth in neutral pH, indicating a lack of pathogenic potential, even though human infection by T. atroviride has been described [ 13 , 14 ]. The D. finlandicus isolates reported to grow at 37 °C on potato dextrose agar (pH 5–6) [ 25 ] did not grow on TSA or blood agar (BA) at 37 °C, but exhibited weak growth at 30 °C.…”
Section: Discussionmentioning
confidence: 99%
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“…A. lentulus, A. udagawae) and all species of section Usti (e.g. A. calidoustus), which account for a very low proportion of IPA (<3%) [59,60].…”
Section: Triazolesmentioning
confidence: 99%
“…The cohort of patients at risk of infections by Aspergillus fumigatus is expanding, and newly described risk factors include prolonged stay in intensive care unit, influenza [ 3 ] or sever acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections [ 4 , 5 ], and chimeric antigen receptor T-cell (CAR-T) therapy. Members of the A. fumigatus complex are the primary cause of human aspergillosis, however other aspergilli have become increasingly recognized as important opportunistic pathogens, such as Aspergillus flavus [ 6 ], Aspergillus cladioustus [ 7 ] and Aspergillus nidulans [ 8 ].…”
Section: Introductionmentioning
confidence: 99%