Changing epidemiology of an emerging infection: zygomycosis

J F Meis1, A Chakrabarti

  • 1Department of Medical Microbiology and Infectious Diseases, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands. j.meis@cwz.nl

Insights

Zygomycetes infections are rising in importance, potentially due to antifungal drug resistance. Apophysomyces elegans is an emerging fungal pathogen causing skin infections, particularly in subtropical regions.

Area of Science:

  • Mycology
  • Infectious Diseases
  • Public Health

Background:

  • Aspergillosis and candidosis are common opportunistic fungal infections in immunocompromised individuals.
  • Diseases caused by Zygomycetes are increasingly significant.
  • Exposure to certain antimycotic drugs may be a risk factor for zygomycosis.

Purpose of the Study:

  • To highlight the increasing importance of Zygomycetes as pathogens.
  • To identify potential risk factors for zygomycosis, such as exposure to specific antifungal drugs.
  • To describe the emergence of Apophysomyces elegans as a pathogen, particularly in subtropical regions.

Main Methods:

  • Literature review and analysis of epidemiological data on fungal infections.
  • Review of clinical case studies and reports on Zygomycetes and Apophysomyces elegans.
  • Analysis of the impact of antifungal drug resistance on the incidence of zygomycosis.

Main Results:

  • Zygomycetes infections are becoming more prevalent.
  • Antimycotic drugs lacking activity against Zygomycetes may contribute to increased zygomycosis incidence.
  • Apophysomyces elegans is an emerging pathogen causing cutaneous infections, especially after trauma in subtropical areas.

Conclusions:

  • The rise in zygomycosis incidence may be linked to antifungal treatment choices.
  • Apophysomyces elegans represents a growing concern for cutaneous infections in specific geographic areas.
  • Further research is needed to understand and manage Zygomycetes infections effectively.

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