What is it about?
In contrast to fungal dermatitis, fungal glossitis and disseminated visceral mycosis, fungal infection of the lung has so far rarely been described in reptiles. Pulmonary fungal granulomas were diagnosed histopathologically within the scope of post mortem examinations. Fragments of the 18S-internal transcribed spacer1-5.8S rDNA (SSU-ITS1-5.8S) and 28S rDNA (LSU), including domains (D)1 and D2 as well as the protein coding gene translation elongation factor 1 alpha (TEF) were used for phylogenetical analysis after isolation of the fungal pathogen by culturing. Ten reptiles, including lizards (n = 6), snakes (n = 1), crocodilians (n = 2) and tortoises (n = 1) presented with pulmonary fungal granulomas (n = 8) and fibrinous pneumonia (n = 2) caused by different non-clavicipitaceous and clavicipitaceous species of the order Hypocreales. Purpureocillium lavendulum (n = 2) and Metarhizium robertsii (n = 1) as the etiologic agents of pneumonia in reptile species are described for the first time. Fungal pulmonary granulomas caused by clavicipitaceous fungi (n = 6) were all associated with disseminated visceral mycosis as well as oral fungal granulomas (n = 4) and/or fungal dermatitis (n = 1). Differing infection routes being likely for clavicipitaceous and non-clavicipitaceous fungal pathogens. A potential zoonotic health risk should be taken into account during necropsy or lung sampling in live reptiles with pulmonary fungal granulomas, since human infections, mainly keratitis and sclerokeratitis, caused by Beauveria bassiana, Metarhizium robertsii and Purpureocillium lilacinum, have occasionally been described.
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Why is it important?
Five different hypocrealean species causing fungal pneumonia in seven different reptile species. Description of M. robertsii and P. lavendulum as cause of fungal pneumonia in reptiles. TEF phylogeny of M. granulomatis and M. viride for the first time. Differences of the infection route between clavicipitaceous and non-clavicipitaceous pathogens. Antifungal susceptibility testing of hypocrealean isolates.
Perspectives
Hypocrealean fungal infections are an emerging disease problem in reptiles, therefore saprozoonotic risk assesment is needed.
PD Dr. med. vet., Dip ECZM (avian&herp) Volker Schmidt
Clinic for Birds and Reptiles, University of Leipzig
Read the Original
This page is a summary of: Pulmonary fungal granulomas and fibrinous pneumonia caused by different hypocrealean fungi in reptiles, Veterinary Microbiology, September 2018, Elsevier,
DOI: 10.1016/j.vetmic.2018.09.008.
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