European Confederation of Medical Mycology (ECMM) epidemiological survey on invasive infections due to Fusarium species in Europe View Full Text


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Article Info

DATE

2014-05-03

AUTHORS

A. M. Tortorano, A. Prigitano, M. C. Esposto, V. Arsic Arsenijevic, J. Kolarovic, D. Ivanovic, L. Paripovic, L. Klingspor, I. Nordøy, P. Hamal, S. Arikan Akdagli, C. Ossi, A. Grancini, C. Cavanna, G. Lo Cascio, C. Scarparo, A. Candoni, M. Caira, M. Drogari Apiranthitou, On the behalf of the ECMM Working Group

ABSTRACT

In order to better understand the epidemiology of fusariosis in Europe, a survey collecting information on the clinical characteristics of the patients infected by Fusarium as well as on the infecting isolates was launched. A total of 76 cases of invasive fusariosis occurring from January 2007 to June 2012 were collected and Fusarium isolates were identified by sequencing the translation elongation factor 1α (TEF) gene. Also, antifungal susceptibility was tested by broth microdilution according to the European Committee on Antimicrobial Susceptibility Testing (EUCAST) and the Etest. Disseminated disease was considered proven in 46 cases and probable in 17 cases. Localised infection was seen in 13 cases. Gibberella fujikuroi species complex (SC), including Fusarium verticillioides and F. proliferatum, and F. solani SC were the most frequent aetiology of disseminated and localised infections, respectively. The crude mortality rate was 46 %, the highest associated with F. solani SC (67 %) and F. proliferatum (62.5 %). A wide range of antifungal susceptibilities was observed. Amphotericin B was the most potent antifungal in vitro, and itraconazole the least effective. The azoles exhibited lower minimum inhibitory concentrations (MICs) against F. verticillioides strains, with posaconazole having a slightly better performance, while F. solani SC isolates were resistant to all three azoles tested. The essential agreement between the Etest and the EUCAST method was 100 % for itraconazole and voriconazole, and 96 % for amphotericin B and posaconazole. In conclusion, we confirm that fusariosis is a rare but severe event in Europe, that G. fujikuroi SC is the predominant cause of deep infections and that different species have different antifungal in vitro susceptibility patterns. More... »

PAGES

1623-1630

References to SciGraph publications

  • 2011-07-09. Amphotericin B and voriconazole susceptibility profiles for the Fusarium solani species complex: comparison between the E-test and CLSI M38-A2 microdilution methodology in EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES
  • 2013-08-11. Fusariosis, a complex infection caused by a high diversity of fungal species refractory to treatment in EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES
  • 2011-04-30. Adventitious sporulation in Fusarium keratitis in GRAEFE'S ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY
  • 2004-06. FUSARIUM-ID v. 1.0: A DNA Sequence Database for Identifying Fusarium in EUROPEAN JOURNAL OF PLANT PATHOLOGY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s10096-014-2111-1

    DOI

    http://dx.doi.org/10.1007/s10096-014-2111-1

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1012675066

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/24791951


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