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Current Topics in Dermatophyte Classification and Clinical Diagnosis
Alex E Moskaluk1, Sue VandeWoude1
1Department of Microbiology, Immunology, and Pathology, Colorado State University, Fort Collins, CO 80523, USA.
Abstract:
Dermatophytes are highly infectious fungi that cause superficial infections in keratinized tissues in humans and animals. This group of fungi is defined by their ability to digest keratin and encompasses a wide range of species. Classification of many of these species has recently changed due to genetic analysis, potentially affecting clinical diagnosis and disease management. In this review, we discuss dermatophyte classification including name changes for medically important species, current and potential diagnostic techniques for detecting dermatophytes, and an in-depth review of Microsporum canis, a prevalent zoonotic dermatophyte. Fungal culture is still considered the "gold standard" for diagnosing dermatophytosis; however, modern molecular assays have overcome the main disadvantages of culture, allowing for tandem use with cultures. Further investigation into novel molecular assays for dermatophytosis is critical, especially for high-density populations where rapid diagnosis is essential for outbreak prevention. A frequently encountered dermatophyte in clinical settings is M. canis, which causes dermatophytosis in humans and cats. M. canis is adapting to its primary host (cats) as one of its mating types (MAT1-2) appears to be going extinct, leading to a loss of sexual reproduction. Investigating M. canis strains around the world can help elucidate the evolutionary trajectory of this fungi.
Insights
Dermatophyte classification is evolving due to genetic analysis, impacting diagnosis and management. This review covers updated classifications, diagnostic methods, and the zoonotic fungus Microsporum canis.
Area of Science:
- Medical Mycology
- Fungal Genetics
- Infectious Diseases
Background:
- Dermatophytes are keratinophilic fungi causing superficial infections in humans and animals.
- Recent genetic analyses have led to significant reclassifications of dermatophyte species.
- Accurate classification is crucial for effective clinical diagnosis and disease management.
Purpose of the Study:
- To review current dermatophyte classification, including recent name changes for medically significant species.
- To discuss existing and emerging diagnostic techniques for dermatophytosis.
- To provide an in-depth review of Microsporum canis, a common zoonotic dermatophyte.
Main Methods:
- Literature review of dermatophyte classification and diagnostics.
- Analysis of genetic data influencing species categorization.
- Review of diagnostic methodologies, including fungal culture and molecular assays.
- Focus on Microsporum canis, examining its host adaptation and reproductive strategies.
Main Results:
- Classification changes necessitate updates in clinical practice.
- Molecular assays offer advantages over traditional fungal cultures for dermatophytosis diagnosis.
- Microsporum canis is adapting to its feline host, with potential loss of sexual reproduction.
- Understanding M. canis evolution is key to managing this zoonotic pathogen.
Conclusions:
- Updated dermatophyte classification is essential for accurate diagnosis and treatment.
- Molecular diagnostics should be further investigated and implemented, especially in high-density populations.
- The evolutionary dynamics of Microsporum canis, particularly its reproductive changes, warrant continued research.
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