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Published on: March 19, 2015
Exophiala dermatitidis: Key issues of an opportunistic fungal pathogen
Lisa Kirchhoff1, Maike Olsowski1, Peter-Michael Rath1
1Institute of Medical Microbiology, Center of Excellence in Clinical and Laboratory Mycology and Clinical Studies, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
Abstract:
The black yeast Exophiala dermatitidis is an opportunistic pathogen, causing phaeohyphomycosis in immunosuppressed patients, chromoblastomycosis and fatal infections of the central nervous system in otherwise healthy Asian patients. In addition, it is also regularly isolated from respiratory samples from cystic fibrosis patients, with rates varying between 1% and 19%.Melanin, as part of the cell wall of black yeasts, is one major factor known contributing to the pathogenicity of E. dermatitidis and increased resistance against host defense and anti-infective therapeutics. Further virulence factors, e.g. the capability to adhere to surfaces and to form biofilm were reported. A better understanding of the pathogenicity of E. dermatitidis is essential for the development of novel preventive and therapeutic strategies. In this review, the current knowledge of E. dermatitidis prevalence, clinical importance, diagnosis, microbiological characteristics, virulence attributes, susceptibility, and resistances as well as therapeutically strategies are discussed.
Insights
Exophiala dermatitidis, a black yeast, causes serious infections like phaeohyphomycosis and CNS disease. Understanding its virulence factors, including melanin, is crucial for developing new treatments.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Pathogen Biology
Background:
- Exophiala dermatitidis is an opportunistic black yeast pathogen.
- It causes phaeohyphomycosis, chromoblastomycosis, and fatal CNS infections.
- It is also found in cystic fibrosis patients' respiratory samples.
Purpose of the Study:
- To review current knowledge on Exophiala dermatitidis.
- To discuss its prevalence, clinical significance, and diagnosis.
- To explore virulence factors, susceptibility, and therapeutic strategies.
Main Methods:
- Literature review of Exophiala dermatitidis research.
- Synthesis of data on clinical isolates and patient outcomes.
- Analysis of microbiological and virulence characteristics.
Main Results:
- Melanin contributes to E. dermatitidis pathogenicity and therapeutic resistance.
- Adherence and biofilm formation are additional virulence factors.
- The review consolidates information on susceptibility and resistance patterns.
Conclusions:
- A comprehensive understanding of E. dermatitidis virulence is vital.
- This knowledge is essential for developing novel preventive and therapeutic approaches.
- Further research into susceptibility and resistance can guide treatment decisions.
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