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Therapy and Antifungal Susceptibility Profile of Microsporum canis
Chioma I Aneke1,2, Domenico Otranto3, Claudia Cafarchia4
1Dipartimento di Medicina Veterinaria, Università degli Studi "Aldo Moro", 70010 Valenzano, Bari, Italy. chioma.aneke@unn.edu.ng.
Abstract:
Microsporum canis is a worldwide diffused zoophilic dermatophyte which causes clinical conditions often characterised by multifocal alopecia, scaling, and circular lesions in many animal species, including humans. A large variety of oral and topical antifungal protocols is available for treating M. canis infection. However, the efficacy of these drugs and treatment protocols is variable, with treatment failure up to 40% of patients possibly due to resistance phenomena. The lack of standardised reference methods for evaluating the antifungal susceptibility of M. canis represents a major hindrance in assessing microbiological resistance in unresponsive clinical cases. Therefore, data about conventional therapy against M. canis and the protocols employed to test the antifungal activity of the most commonly employed drugs (i.e., azoles, polyenes, allylamines, and griseofulvin) have been summarised herein. This article focuses on technical parameters used for antifungal susceptibility tests, their effects on the minimum inhibitory concentration value, as well as their clinical implications.
Insights
Microsporum canis infections are common in animals and humans, with treatment failures possibly linked to drug resistance. Standardized methods are needed to test antifungal susceptibility and improve treatment outcomes.
Area of Science:
- Veterinary Mycology
- Dermatophytosis Research
- Antifungal Drug Discovery
Background:
- Microsporum canis is a globally prevalent zoophilic dermatophyte causing alopecia and skin lesions in animals and humans.
- Current antifungal treatments for M. canis infections show variable efficacy, with treatment failures reported in up to 40% of cases, potentially due to resistance.
- A significant challenge in managing unresponsive cases is the absence of standardized methods for assessing M. canis antifungal susceptibility.
Purpose of the Study:
- To summarize current data on conventional therapies for Microsporum canis infections.
- To review protocols used for testing the antifungal activity of common drugs against M. canis.
- To analyze the impact of technical parameters in antifungal susceptibility testing on minimum inhibitory concentration (MIC) values and clinical outcomes.
Main Methods:
- Literature review of conventional therapies for M. canis.
- Analysis of published protocols for antifungal susceptibility testing (AST) of M. canis.
- Evaluation of factors influencing minimum inhibitory concentration (MIC) determination in AST.
Main Results:
- Conventional antifungal drugs include azoles, polyenes, allylamines, and griseofulvin.
- Antifungal susceptibility testing methods vary, impacting reported minimum inhibitory concentration (MIC) values.
- Standardization of AST methods is crucial for accurate resistance assessment.
Conclusions:
- Standardized antifungal susceptibility testing methods are essential for Microsporum canis to guide effective treatment strategies.
- Understanding the influence of technical parameters on MIC values is critical for interpreting resistance data.
- Improved diagnostic approaches are needed to address variable treatment efficacy and potential resistance in M. canis infections.
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