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[Human protothecosis and environment]

M Huerre1, P Ravisse, H Solomon

  • 1Unité d'Histopathologie, Institut Pasteur, Paris.

Bulletin De La Societe De Pathologie Exotique (1990)
|January 1, 1993
PubMed
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Protothecosis, caused by achlorophylous algae Prototheca, presents as uncommon cutaneous or systemic infections, often diagnosed via histology. These opportunistic agents are ubiquitous in sewage and transmitted through inoculation.

Area of Science:

  • Medical Mycology
  • Infectious Diseases
  • Dermatology

Background:

  • Protothecosis is an uncommon infection caused by Prototheca, a type of achlorophylous alga.
  • Since 1964, approximately 80 human cases have been documented globally, with a notable cluster in the Southeastern United States.
  • The condition can manifest as cutaneous lesions, olecranon bursitis, or systemic disease, often associated with immunosuppression.

Purpose of the Study:

  • To review the clinical manifestations, diagnosis, and ecology of Protothecosis.
  • To highlight the diagnostic features of Prototheca in tissue samples.
  • To discuss the environmental sources and transmission routes of Prototheca.

Main Methods:

  • Literature review of reported human cases of Protothecosis.

Related Experiment Videos

  • Histopathological analysis of tissue samples to identify Prototheca morphology.
  • Ecological studies on the prevalence and habitats of Prototheca species.
  • Main Results:

    • Clinical presentations include cutaneous lesions (papules, plaques, eczematoid), olecranon bursitis (25% of cases), and systemic infections.
    • Diagnosis is frequently made by histology, revealing granulomas with endospores and characteristic morula-like sporangia of Prototheca wickerhamii.
    • Prototheca are ubiquitous in sewage and aquatic environments, transmitted via traumatic inoculation, and are considered opportunistic pathogens.

    Conclusions:

    • Protothecosis is a rare opportunistic infection with diverse clinical presentations.
    • Histopathology is crucial for diagnosis, identifying characteristic Prototheca structures.
    • Understanding Prototheca's ecology and transmission is vital for prevention and management.