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DESCRIPTIONS OF MEDICAL FUNGI

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2<br />

Descriptions of Medical Fungi<br />

The genus Acrophialophora contains 16 species that are most commonly associated<br />

with soil, especially from India (Zhang et al. 2015a). Two species have been reported<br />

as human pathogens, A. fusispora and A. levis (Sandoval-Denis et al. 2015). ITS<br />

sequencing is recommended for species identification.<br />

RG-1 organism.<br />

Acrophialophora fusispora (S.B. Saksena) Samson<br />

Morphological Description: Colonies fast growing, greyish-brown with a black<br />

reverse. Conidiophores arising singly, terminally and laterally from the hyphae, erect,<br />

straight or slightly flexuose, tapering towards the apex, pale brown, rough-walled, up<br />

to 15 μm long, 2-5 μm wide, with whorls of phialides on the upper part. Phialides<br />

flask-shaped with a swollen base and a long, narrow neck, hyaline, smooth-walled or<br />

echinulate, 9-15 x 3-4.5 μm in the broadest part. Conidia in long chains, limoniform,<br />

one-celled, pale brown 5-12 x 3-6 μm, smooth to finely echinulate with indistinct spiral<br />

bands. Temperature: optimum 40 O C; maximum 50 O C.<br />

Key Features: Hyphomycete with flask-shaped phialides producing long chains of<br />

one-celled, limoniform, pale brown conidia, with indistinct spiral bands. Note: In A.<br />

levis the conidia lack spiral bands and the phialides have verruculose walls.<br />

Molecular Identification: D1/D2, ITS, 18S and β-tubulin sequences have been<br />

reported by Sandoval-Denis et al. (2015) and Zhang et al (2015a).<br />

References: Domsch et al. (2007), de Hoog et al. (2000, 2015), Al-Mohsen et al.<br />

(2000), Guarro et al. (2007), Sandoval-Denis et al. (2015), Zhang et al. (2015a).<br />

b<br />

10 μm<br />

a<br />

Acrophialophora fusispora (a) culture and (b)<br />

phialides and conidia with spiral striations (arrows).<br />

Antifungal Susceptibility: A. fusispora data from about 40 isolates (Sandoval-<br />

Denis et al. 2015 and Australian National data); MIC µg/mL.<br />

Antifungal Range MIC 90<br />

Antifungal Range MIC 90<br />

AmB 1-32 16 VORI 0.06-0.5 0.25<br />

ITRA 0.125-4 1 POSA 0.25-1 1

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