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Exploring Factors Driving the Uneven Distribution of Aspergillus terreus in an Austrian Hotspot Region
Jan Schobert1, Paul Illmer2, Roya Vahedi-Shahandashti1
1ISHAM Working Group of A. terreus, ECMM Excellence Center of Mycology, Institute of Hygiene and Medical Microbiology, Medical University of Innsbruck, 6020 Innsbruck, Austria.
Abstract:
Aspergillus terreus is an opportunistic fungal pathogen and a major cause of aspergillosis. Its clinical significance is heightened by high mortality rates, dissemination, and resistance to amphotericin B, complicating treatment. The present study investigates the distribution of A. terreus in Tyrolean (Austria) soils and explores potential environmental factors influencing its uneven prevalence. Soil samples from the eastern and western parts of Tyrol were analyzed using soil extraction plating, the soil immersion tube method, and A. terreus-specific qPCR. The results revealed a significantly higher prevalence of A. terreus in the eastern region. Soil parameters, including pH, moisture, organic matter, total carbon, and nitrogen, were assessed for potential correlations with fungal distribution. The presence of A. terreus was significantly associated with lower pH, decreased total carbon and nitrogen, and lower soil density. Random sampling across Austria indicated a lower environmental frequency of A. terreus outside of Tyrol. The susceptibility profiles of amphotericin B, posaconazole, isavuconazole, and voriconazole were determined according to EUCAST guidelines, showing that 98.3% of isolates were wild type for amphotericin B, 100% wild type for voriconazole, 100% resistant to posaconazole, and 87.2% resistant to isavuconazole.
Insights
Aspergillus terreus, a fungal pathogen causing aspergillosis, is more prevalent in eastern Tyrolean soils, linked to lower pH and soil density. Most isolates showed resistance to posaconazole and isavuconazole.
Area of Science:
- Environmental microbiology
- Medical mycology
Background:
- Aspergillus terreus is an opportunistic fungal pathogen responsible for aspergillosis, a disease with high mortality rates.
- Clinical challenges include dissemination and resistance to antifungal drugs like amphotericin B.
Purpose of the Study:
- To investigate the distribution of A. terreus in Tyrolean soils.
- To identify environmental factors associated with its prevalence.
- To determine antifungal susceptibility profiles of clinical isolates.
Main Methods:
- Soil sampling and analysis using plating, soil immersion tube method, and qPCR.
- Assessment of soil parameters (pH, moisture, organic matter, carbon, nitrogen, density).
- Antifungal susceptibility testing following EUCAST guidelines for amphotericin B, posaconazole, isavuconazole, and voriconazole.
Main Results:
- A. terreus showed significantly higher prevalence in eastern Tyrol compared to western Tyrol.
- Fungal presence correlated with lower soil pH, reduced total carbon and nitrogen, and lower soil density.
- A lower environmental frequency was observed outside Tyrol.
- High resistance rates were found for posaconazole (100%) and isavuconazole (87.2%), while most isolates were wild type for amphotericin B (98.3%) and voriconazole (100%).
Conclusions:
- Soil characteristics, particularly lower pH and reduced soil density, influence A. terreus distribution in Tyrol.
- The high prevalence of resistance to azole antifungals like posaconazole and isavuconazole is a significant clinical concern.
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