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A Contrast of Three Inoculation Techniques used to Determine the Race of Unknown Fusarium oxysporum f.sp. niveum Isolates
Published on: October 28, 2021
Fusarium spp. in Human Disease: Exploring the Boundaries between Commensalism and Pathogenesis
Anca Cighir1,2,3, Anca Delia Mare1,3, Florina Vultur4,5
1Department of Microbiology, George Emil Palade University of Medicine, Pharmacy, Sciences and Technology of Târgu Mures, 38 Gheorghe Marinescu Street, 540139 Târgu Mures, Romania.
Abstract:
Fusarium is a large fungal genus that is widely distributed in the environment, mostly known for its plant pathogenicity. Rarely, it is involved in human pathology, where the type of infection caused is highly dependent upon the portal of entry and the immune status of the host. The study at hand aims to summarize routine methods used in diagnosing such infections as well as more advanced molecular diagnostic methods, techniques that can play a huge role in differentiating between colonization and infection when trying to decide the therapeutic outcome. Consequently, to further support our findings, two different strains (one isolated from corneal scrapings and one isolated from purulent discharge) were analyzed in a clinical context and thoroughly tested using classical and modern diagnostic methods: identification by macroscopical and microscopical examinations of the culture and mass spectrometry, completed by molecular methods such as PCR for trichothecene and ERIC-PCR for genetic fingerprinting. Isolation of a clinically relevant Fusarium spp. from a sample still remains a diagnostic challenge for both the clinician and the microbiologist, because differentiating between colonization and infection is very strenuous, but can make a difference in the treatment that is administered to the patient.
Insights
Diagnosing human Fusarium infections is challenging. This study compares traditional and molecular methods for identifying Fusarium species and distinguishing infection from colonization, aiding clinical treatment decisions.
Area of Science:
- Medical Mycology
- Clinical Microbiology
- Infectious Diseases
Background:
- Fusarium species are ubiquitous fungi, primarily known for plant diseases.
- Rarely, Fusarium causes human infections, with outcomes depending on host immunity and infection site.
- Accurate diagnosis is crucial for effective patient management.
Purpose of the Study:
- To review diagnostic methods for human Fusarium infections.
- To evaluate classical and advanced molecular techniques for Fusarium identification.
- To differentiate between Fusarium colonization and true infection.
Main Methods:
- Macroscopical and microscopical examination of cultures.
- Mass spectrometry for fungal identification.
- Molecular techniques including PCR for trichothecene and ERIC-PCR for genetic fingerprinting.
- Analysis of two clinical Fusarium strains.
Main Results:
- Classical and molecular methods were employed to characterize Fusarium strains.
- Mass spectrometry and PCR-based techniques offer enhanced diagnostic capabilities.
- Genetic fingerprinting aids in strain differentiation.
Conclusions:
- Accurate identification of Fusarium species is essential for clinical decision-making.
- Differentiating Fusarium colonization from infection remains a diagnostic challenge.
- Integrated diagnostic approaches improve the management of Fusarium infections.
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