Electron microscopy reveals fungal cells within tumor tissue from two African patients with AIDS-associated Kaposi

Karl-Horst Marquart1

  • 1Institute of Molecular Virology, GSF-National Research Center for Environment and Health, Neuherberg, Germany. wenched@ulrik.uio.no

Insights

Fungal cells resembling Candida albicans were found in Kaposi sarcoma lesions of two AIDS patients. This suggests an early, asymptomatic cutaneous candidiasis stage in immunocompromised individuals.

Area of Science:

  • Mycology
  • Immunology
  • Dermatology

Background:

  • Kaposi sarcoma (KS) is an opportunistic malignancy common in individuals with advanced HIV/AIDS.
  • Severely immunocompromised patients are susceptible to various opportunistic infections.

Observation:

  • Electron microscopy of KS skin lesions from two African AIDS patients revealed fungal cells.
  • These fungal cells exhibited a triple-layered cell wall and lacked encapsulation.
  • The ultrastructure of the observed cells was consistent with Candida albicans.

Findings:

  • Candida albicans was identified within the tumor tissue of Kaposi sarcoma lesions.
  • No clinical signs of systemic fungal infection were present in either patient.
  • The presence of Candida albicans in KS lesions indicates an early, asymptomatic cutaneous candidiasis.

Implications:

  • This finding highlights a potential co-infection in immunocompromised patients with Kaposi sarcoma.
  • Early, asymptomatic cutaneous candidiasis may be a marker in severely immunocompromised individuals.
  • Further research is needed to understand the interaction between Candida albicans and Kaposi sarcoma in AIDS patients.