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Ecology
Cladophialophora
is a
dematiaceous
fungus
primarily isolated from soil and decomposing plant materials. Some
species are prevalent in tropical and sub – tropical regions.
Species
There are six
species classified under the genus Cladophialophora namely,
Cladophialophora carrioinii, Cladophialophora bantiana,
Cladophialophora boppii, Cladophialophora arxii, and
Cladophialophora devriesii.
Pathogenicity and Health Effects
Cladophialophora
species is a causative agent of
phaeohyphomycosis,
chromoblastomycosis and
mycetoma. Cladophialophora bantiana causes cerebral
phaeohyphomycosis in the form of fatal
brain abscess.
Cladophialophora bantiana may also cause skin lesions. On the
other hand, Cladophialophora boppii
and Cladophialophora carrioinii
are both isolated
from chromoblastomycosis – infected patients. Cladophialophora
devriesii has been reported to cause disseminated phaeohyphomycosis.
Trauma and
exposure to soil are considered as the main predisposing factors for
acquiring Cladophialophora carrioinii - induced infections while
Cladophialophora bantiana is most likely acquired via inhalation.
Macroscopic Appearance
Ø
Growth rate of colony varies from one species to another;
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Colony texture is powdery to wooly and spreading; and
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Surface colony color is olivaceous green to black and reverse is black in
color.
Note:
Cladophialophora bantiana has a special feature of possessing urease
activity.
Table 1. Growth Rate Differences of Cladophialophora species.
|
Cladophialophora
species |
Growth Rate |
|
Cladophialophora boppii |
Grows
moderately rapidly on potato dextrose agar at 25°C. |
|
Cladophialophora bantiana |
Grows
moderately rapidly on potato dextrose agar at 25°C; Has the ability
to grow at temperatures as high as 42 -43°C. |
|
Cladophialophora carrioinii |
Grows slowly
on potato dextrose agar at 25°C and does not grow at temperatures
beyond 35 - 36°C. |
Information gathered from DoctorFungus.com
Microscopic Appearance
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Hyphae are
septate, brown in color while conidiophores are frequently not
differentiated from the vegetative hyphae;
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Conidia are unicellular, pale to dark brown, and often form chains from
which the conidia readily disarticulate wherein the youngest conidium is
located at the tip of the chain, and no attachment scars are observed; and
Ø
Cladophialophora bantiana
and Cladophialophora boppi may also produce
chlamydoconidia.
Table 2. Microscopic Differences of Conidia produced by Cladophialophora
species.
|
Cladophialophora
species |
Characteristics of
Produced Conidia |
|
Cladophialophora boppii |
Smooth –
walled conidia in long chains, unbranched, 2 – 3 x 3 - 4 µm in size,
unicellular, directly arise from the
conidiophores, and no observed
shield cells. |
|
Cladophialophora bantiana |
Conidia are
unicellular, smooth and lemon – shaped in long chains, 6 – 11 x 2.5
- 5 µm in size, and no shield cells on conidiophores supporting
conidia formation. |
|
Cladophialophora carrioinii |
Lemon –
shaped, unicellular conidia in long and abundantly branching chains,
4.5 – 6 x 2 - 3 µm in size, and may be smooth or occasionally
echinulate. |
Information gathered from DoctorFungus.com
Laboratory Precautions
Cladophialophora
bantiana
is an extremely hazardous fungus that should be analyzed only in a
biological safety cabinet. Cladophialophora carrioinii should also
be handled in a biological safety cabinet carefully.
Susceptibility
In vitro
susceptibility
testing methods for testing Cladophialophora species are not yet
standardized and available data are very limited. For Cladophialophora
bantiana, MICs and MLCs of posaconazole are low while MICs and MLCs of
caspofungin and anidulafungin are high. Itraconazole and voriconazole
show fungicidal effect on Cladophialophora bantiana strains. MICs
of itraconazole is generally low for both Cladophialophora bantiana
and Cladophialophora carrioinii while MICs of amphotericin B for
Cladophialophora carrioinii isolates appear somewhat higher compared
to those of Cladophialophora bantiana.
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