Arsić-Arsenijević Valentina, Milobratović Danica, Dzamić Aleksandar, Mitrović Sanja, Radonjić Ivana, Petković Ljubica, Kranjcić-Zec Ivana
Laboratory of Mycology, Institute of Microbiology and Immunology, University School of Medicine, Belgrade.
Srp Arh Celok Lek. 2003 Nov-Dec;131(11-12):454-7. doi: 10.2298/sarh0312454a.
Today is known that genus Malassezia includes seven species: M. furfur, M. sympodialis, M. obtusa, M. globosa, M. restricta, M. sloofflae and M. pachydermatis, but role of each of the species in the pathogenesis of disease has not been elucidated yet, so further laboratory isolation and identification are necessary. We report the first case of isolation of Malassezia globosa in Serbia (Belgrade), in a patient suffering from Pityriasis versicolor. Identification of M. globosa was based on macroscopic, microscopic and biochemical characteristics. Isolation was done on Leeming and Notman medium and on mDixona agar, at 350C, during 7 days in aerobic conditions. Also the yeast's biochemical phenotype was determined as catalase (+), lipase (+), esculin degradation (-), Tween (20, 40, 60 and 80) assimilation (-). M. globosa is a lipophilic yeast of the genus Malassezia and the common member of the skin flora. In concordance with some predisponing factors M. globosa is implicated in the pathogenesis of several skin diseases (pityriasis versicolor, malassezia foliculitis, seborheic dermatitis and some forms of atopic dermatitis). In immunocompromised patients and neonates this yeast can even cause fatal systemic infections. Because the role of Malassezia spp. In pathogenesis of skin disease is not still determined, we suggest laboratory diagnosis and identification of these species as a routine diagnostic procedure.
糠秕马拉色菌、合轴马拉色菌、钝形马拉色菌、球形马拉色菌、限制马拉色菌、斯洛菲马拉色菌和厚皮马拉色菌,但每种马拉色菌在疾病发病机制中的作用尚未阐明,因此有必要进一步进行实验室分离和鉴定。我们报告了塞尔维亚(贝尔格莱德)首例从一名患花斑糠疹的患者身上分离出球形马拉色菌的病例。球形马拉色菌的鉴定基于宏观、微观和生化特征。分离在利明和诺特曼培养基以及改良迪克森琼脂上进行,于35℃有氧条件下培养7天。此外,该酵母的生化表型确定为过氧化氢酶(+)、脂肪酶(+)、七叶苷降解(-)、吐温(20、40、60和80)同化(-)。球形马拉色菌是马拉色菌属的一种嗜脂性酵母,是皮肤菌群的常见成员。与一些易感因素一致,球形马拉色菌与几种皮肤病(花斑糠疹、马拉色菌毛囊炎、脂溢性皮炎和某些形式的特应性皮炎)的发病机制有关。在免疫功能低下的患者和新生儿中,这种酵母甚至可导致致命的全身感染。由于马拉色菌属在皮肤病发病机制中的作用仍未确定,我们建议将这些菌种的实验室诊断和鉴定作为常规诊断程序。