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Chromoblastomycosis Caused by Phialophora-Proven Cases from Mexico
Sarah A Ahmed1,2,3, Alexandro Bonifaz4, Gloria M González5
1Center of Expertise in Mycology, Radboud University Medical Center/Canisius Wilhelmina Hospital, 6525GA Nijmegen, The Netherlands.
Abstract:
Chromoblastomycosis is a chronic severely mutilating disease caused by fungi of the order Chaetothyriales. Classically, Phialophora verrucosa has been listed among these etiologic agents. This species is known to occur in the environment and has been found to cause other infections like phaeohyphomycosis, while reported cases of chromoblastomycosis are scant. Phialophora is phylogenetically diverse, and thus retrospective confirmation of etiology is necessary. We studied ten proven cases of chromoblastomycosis from Mexico and further analyzed the population genetics and genomics of the Phialophora species to understand their pathogenicity and predilection. The clinical strains were molecularly identified as Phialophora americana (n = 4), Phialophorachinensis (n = 4), and Phialophora macrospora (n = 2). No genetic distinction between clinical and environmental strains was possible. Further analysis of strains from diverse origins are needed to address eventual differences in virulence and niche predilection between the species.
Insights
Chromoblastomycosis, a fungal infection, is caused by diverse *Phialophora* species, not just *P. verrucosa*. Genetic analysis revealed *P. americana*, *P. chinensis*, and *P. macrospora* as key causative agents in Mexican cases.
Area of Science:
- Medical Mycology
- Fungal Pathogenesis
- Population Genetics
Background:
- Chromoblastomycosis is a chronic fungal infection.
- Traditionally attributed to *Phialophora verrucosa*, but this species rarely causes chromoblastomycosis.
- *Phialophora* species are phylogenetically diverse, necessitating etiological clarification.
Purpose of the Study:
- To investigate the genetic diversity of *Phialophora* species causing chromoblastomycosis.
- To analyze population genetics and genomics of clinical *Phialophora* strains.
- To understand the pathogenicity and niche predilection of these fungi.
Main Methods:
- Molecular identification of ten clinical chromoblastomycosis isolates from Mexico.
- Population genetics and genomic analysis of *Phialophora* species.
- Comparison of clinical and environmental *Phialophora* strains.
Main Results:
- Identified *Phialophora americana* (4), *Phialophora chinensis* (4), and *Phialophora macrospora* (2) as the etiological agents.
- No significant genetic distinctions were found between clinical and environmental strains.
- The study highlights the phylogenetic diversity within *Phialophora* responsible for chromoblastomycosis.
Conclusions:
- *Phialophora americana*, *P. chinensis*, and *P. macrospora* are significant causes of chromoblastomycosis.
- Further research on diverse origins is needed to understand virulence and niche differences.
- This study refines the understanding of fungal agents responsible for chromoblastomycosis.
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