4.5 Article

A new pleosporalean fungus isolated from superficial to deep human clinical specimens

Journal

MEDICAL MYCOLOGY
Volume 59, Issue 3, Pages 278-288

Publisher

OXFORD UNIV PRESS
DOI: 10.1093/mmy/myaa055

Keywords

Ascomycota; filamentous fungi; infection; mycoses; Pleosporales

Funding

  1. Spanish Ministerio de Economia y Competitividad [CGL2017-88094-P]

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Human infections by pleosporalean fungi are rarely reported due to the challenges in their morphological identification. This study identified a new fungal genus, Gambiomyces, using molecular markers after phenotypic characterization failed. The isolates were sterile, leading to difficulty in morphological description, highlighting the importance of molecular identification in clinical Dothideomycetes.
Human infections by pleosporalean fungi (class Dothideomycetes, phylum Ascomycota) are rarely reported. Because their identification is challenging using morphological characterization, several phylogenetic markers must be sequenced for an accurate identification and taxonomical placement of the isolates. Three isolates of clinical origin were phenotypically characterized, but due to the absence of relevant morphological traits, D1-D2 domains of the 28S nrRNA gene (LSU), the internal transcribed spacer region (ITS) of the nrRNA, and fragments of the RNA polymerase II subunit 2 (rpb2) and translation elongation factor 1-alpha (tef1) genes were sequenced to allow a phylogenetic analysis that would solve their phylogenetic placement. That analysis revealed that these isolates did not match any previously known pleosporalean genera, and they are proposed here as the new fungal genus, Gambiomyces. Unfortunately, the isolates remained sterile, which, consequently, made the morphological description of the reproductive structures impossible. Future studies should try to understand the behaviour of this fungus in nature as well as its characteristics as an opportunistic fungal pathogen. Molecular identification is becoming an essential tool for proper identification of Dothideomycetes of clinical origin. Lay Abstract We describe a new pleosporalen pathogenic fungus, Gambiomyces profunda, found in superficial to deep samples from a human patient. Because all strains remained sterile, the fungus was finally identified following a phylogenetic analysis by using four different molecular markers.

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