Nweze Emeka I, Kechia Fred A, Dibua Uju E, Eze Charles, Onoja Uwakwe S
Department of Microbiology, University of Nigeria, Nsukka, NG.
University of Bamenda, CM.
Rev Inst Med Trop Sao Paulo. 2015 Jul-Aug;57(4):295-8. doi: 10.1590/S0036-46652015000400004.
Cryptococcosis caused by Cryptococcus neoformans is the second most common fungal opportunistic pathogen and a life-threatening infection with serious clinical manifestations especially in HIV/AIDS and other immunocompromised patients. In Nigeria, HIV/AIDS infection has reached an alarming level. Despite this, information on the presence of this fungus in clinical and environmental samples is very scanty in Nigeria and many other parts of Africa. We set out to evaluate the presence of Cryptococcus neoformans or C. gattiiin pigeon droppings obtained from Southeastern Nigeria. One hundred and seventy-seven samples of pigeon droppings from six sample types were collected. The area covered comprised of ten cities and other locations spanning across five States in Nigeria. Using established techniques, Cryptococcus neoformans was isolated from 39 of the 177 (22.0%) samples overall. No C. gattiiwas isolated. Most of the isolates (32.4%) were recovered from dovecotes (11 of 34) followed closely by samples taken from markets (31.8%; seven of 22) and least from the church (4.0%; one of 25). The highest isolation rate (38.9%) was found in samples from Enugu-Ezike(seven of 23) while the least came from Afikpo and the other locations each with 9.1% isolation rate. This is the first large-scale screening of Cryptococcus neoformans from pigeon droppings in Nigeria. The ecological and epidemiological significance of these findings are discussed.
由新型隐球菌引起的隐球菌病是第二常见的真菌性机会致病菌,是一种危及生命的感染,具有严重的临床表现,尤其是在艾滋病毒/艾滋病患者和其他免疫功能低下的患者中。在尼日利亚,艾滋病毒/艾滋病感染已达到令人担忧的程度。尽管如此,在尼日利亚和非洲许多其他地区,关于这种真菌在临床和环境样本中的存在情况的信息非常匮乏。我们着手评估从尼日利亚东南部采集的鸽粪中新型隐球菌或加氏隐球菌的存在情况。收集了来自六种样本类型的177份鸽粪样本。覆盖的区域包括尼日利亚五个州的十个城市和其他地点。使用既定技术,在177个样本中的39个(22.0%)样本中分离出了新型隐球菌。未分离出加氏隐球菌。大多数分离株(32.4%)从鸽舍中分离得到(34个中的11个),其次是从市场采集的样本(31.8%;22个中的7个),从教堂采集的样本最少(4.0%;25个中的1个)。在来自埃努古 - 埃齐克的样本中分离率最高(38.9%,23个中的7个),而最低的来自阿菲波和其他地点,分离率均为9.1%。这是尼日利亚首次对鸽粪中的新型隐球菌进行大规模筛查。讨论了这些发现的生态和流行病学意义。