Aspergillus Classic Diagnostic Dr. Patricio Godoy Martínez Universidad Austral de Chile...

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Aspergillus Classic Diagnostic Dr. Patricio Godoy Martínez Universidad Austral de Chile [email protected]

Transcript of Aspergillus Classic Diagnostic Dr. Patricio Godoy Martínez Universidad Austral de Chile...

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Aspergillus

Classic Diagnostic

Dr. Patricio Godoy Martínez

Universidad Austral de Chile

[email protected]

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AspergillusAspergillus

Ubiquitous, commonly ocurring in soil, water, and decaying vegatation.

Reservoirs in hospitals; unfiltered air, ventilation system, carpeting, food, water distribution system, etc.

Cause invasive and allergic disease in humans and other animals.

Cause plant and food spoilage and produce mycotoxins.

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Classification of Aspergillus. Classification of Aspergillus. ~260 ~260 especies, especies, 38 have caused disease38 have caused disease

Balajee & Marr,2006. Future Microbiology, 1:435-445.

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Geiser 2009. Medical Mycology, 47:S21-S26

Sexual stages associated with the Sexual stages associated with the genus genus AspergillusAspergillus

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AspergillusAspergillus

Direct Indirect

Mycology

Diagnostics

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AspergillusAspergillus

Microscopic examination

Microscopic examination

ColonyColonyDetection of Ag and A.N

Detection of Ag and A.N

Direct MethodsDirect Methods

ColorationHistopathology

ColorationHistopathology

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Direct microscopic examinationDirect microscopic examination

hyphaes hyalines septate.hyphaes hyalines septate.

Vitale R

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Histopathology: H&EHistopathology: H&E

Vitale R

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Histopathology: GrocottHistopathology: Grocott

Vitale R

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IdentificationIdentification

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Macro-microscopic observation of Macro-microscopic observation of colonies colonies

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Morphological characterMorphological character

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COLUMNAR

RADIATE

Morphological characterMorphological character

Josep Guarro

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Aspergillus fumigatusAspergillus fumigatus

Colonies black blue-green, consisting of a dense felt of conidiophores. www. pgodoy. com

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Aspergillus fumigatusAspergillus fumigatus

Conidial heads columnar. Conidiogenous cells uniseriate. Conidiophore stipes smooth-walled often green in the upper part. Conidia verrucose. www.pgodoy.com

www.aspergillus.man.ac.uk

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Neosartorya

Anamorphs closely related to A. fumigatus.

Teleomorphs only differentiated by subtle differences in ascospores ornamentation.

Thermophilic.

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Neosartorya

N. fischeri

N. pseudofischeri

N. hiratsukae

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Neosartorya

Osteomyelitis

Keratitis

Endocarditis

Peritonitis

Cerebral infection

Pulmonary infection

Disseminated infection

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Neosartorya pseudofischeri

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Neosartorya hiratsukaeNeosartorya hiratsukae

Josep Guarro

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N. pseudofischeriN. pseudofischeri

N. hiratsukaeN. hiratsukae

Josep Guarro

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Josep Guarro

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Neosartorya

Underdiagnosed (regarded as contaminants in the lab)

Difficult to identify at species level.

Antifungal susceptibility similar to A. fumigatus ?

Little experience in the treatment. Amphotericin B and itraconazole

Josep Guarro

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Aspergillus nigerAspergillus niger

Colonies black, consisting of a dense felt of conidiophores. www. pgodoy. com

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Aspergillus nigerAspergillus niger

Conidial heads radiate. Vesicles subspherical, conidiogenous cells biseriate. Conidia brown, ornamented. www.aspergillus.man.ac.uk

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Aspergillus flavusAspergillus flavus

Colonies yellowish-green, consisting of a dense felt of conidiophores.

www.aspergillus.man.ac.uk

www.pgodoy.com

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Aspergillus flavusAspergillus flavus

Conidial heads radiate. Conidiogenous cells uni and biseriate. Conidiophore stipes rough-walled hyaline. Conidia echinulate. Sclerotia may be present.

www.aspergillus.man.ac.uk

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Aspergillus parasiticusAspergillus parasiticus

R. Salim & R. Runco

Colonies yellowish-brown, consisting of a dense felt of conidiophores.

conidiophores of varying lengths, wall hyaline, thick, with ornamentation equinulada, spherical vesicles, uni or biseriate (24-25 m), completely covering the fiálides gallbladder. Conidia globose or subglobosos warted (2.5-3 m) with thin walls (20, 21).

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Aspergillus tamariiAspergillus tamarii

Conidial heads compact and spherical or loosely radiate. Conidiogenous cells uni and biseriate. Conidiophore stipes rough-walled hyaline. Conidia echinulate.

www.aspergillus.man.ac.uk

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Aspergillus orizaeAspergillus orizae

Conidial heads radiate to loosely columnar. Conidiogenous cells uni and biseriate. Conidiophore stipes rough-walled hyaline. Conidia smooth-walled to roughened.

www.aspergillus.man.ac.uk

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Aspergillus terreusAspergillus terreus

Colonies yellowish-brown to cinnamon-brown, consisting of a dense felt of conidiophores.

www.aspergillus.man.ac.uk

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Aspergillus terreusAspergillus terreus

Conidial heads densely columnar. Conidiogenous cells biseriate. Conidiophore stipes smooth-walled hyaline. Conidia smooth walled, striate hyaline.

www.aspergillus.man.ac.uk

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Aspergillus nidulansAspergillus nidulans

Colonies growing rapidly, green, cream-buff or honey-yellow, reverse dark purple.

Vitale R

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Aspergillus nidulansAspergillus nidulans

Conidial heads short, columnar. Conidiogenous cells biseriate. Conidiophore stipes brownish. Conidia spherical, rugulose, subhyaline, green.

Vitale R

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Aspergillus clavatusAspergillus clavatus

Colonies growing rapidly, bluish-green, consisting of a dense felt of conidiophores.

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Conidial heads radiate, later splitting into several columns. Conidiogenous cells uniseriate. Conidiophore stipes smooth. Vesicle clavate. Conidia smooth-walled hyaline.

Aspergillus clavatusAspergillus clavatus

www.pgodoy.com

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INFOCUS 2010 - CHILEINFOCUS 2010 - CHILE