Seyedmousavi Seyedmojtaba, Bosco Sandra de M G, de Hoog Sybren, Ebel Frank, Elad Daniel, Gomes Renata R, Jacobsen Ilse D, Jensen Henrik Elvang, Martel An, Mignon Bernard, Pasmans Frank, Piecková Elena, Rodrigues Anderson Messias, Singh Karuna, Vicente Vania A, Wibbelt Gudrun, Wiederhold Nathan P, Guillot Jacques
Molecular Microbiology Section, Laboratory of Clinical Microbiology and Immunology (LCMI), National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH), Bethesda, MD, USA.
Department of Microbiology and Immunology, Institute of Biosciences-UNESP Univ Estadual Paulista Botucatu, São Paulo, Brazil.
Med Mycol. 2018 Apr 1;56(suppl_1):165-187. doi: 10.1093/mmy/myx104.
The importance of fungal infections in both human and animals has increased over the last decades. This article represents an overview of the different categories of fungal infections that can be encountered in animals originating from environmental sources without transmission to humans. In addition, the endemic infections with indirect transmission from the environment, the zoophilic fungal pathogens with near-direct transmission, the zoonotic fungi that can be directly transmitted from animals to humans, mycotoxicoses and antifungal resistance in animals will also be discussed. Opportunistic mycoses are responsible for a wide range of diseases from localized infections to fatal disseminated diseases, such as aspergillosis, mucormycosis, candidiasis, cryptococcosis and infections caused by melanized fungi. The amphibian fungal disease chytridiomycosis and the Bat White-nose syndrome are due to obligatory fungal pathogens. Zoonotic agents are naturally transmitted from vertebrate animals to humans and vice versa. The list of zoonotic fungal agents is limited but some species, like Microsporum canis and Sporothrix brasiliensis from cats, have a strong public health impact. Mycotoxins are defined as the chemicals of fungal origin being toxic for warm-blooded vertebrates. Intoxications by aflatoxins and ochratoxins represent a threat for both human and animal health. Resistance to antifungals can occur in different animal species that receive these drugs, although the true epidemiology of resistance in animals is unknown, and options to treat infections caused by resistant infections are limited.
在过去几十年中,真菌感染在人类和动物中的重要性都有所增加。本文概述了来自动物环境源且不会传播给人类的不同类型真菌感染。此外,还将讨论来自环境的间接传播的地方性感染、近乎直接传播的嗜动物性真菌病原体、可从动物直接传播给人类的人畜共患真菌、动物中的霉菌毒素中毒和抗真菌耐药性。机会性真菌病可导致从局部感染到致命性播散性疾病等多种疾病,如曲霉病、毛霉病、念珠菌病、隐球菌病以及由黑化真菌引起的感染。两栖动物真菌病蛙壶菌病和蝙蝠白鼻综合征是由专性真菌病原体引起的。人畜共患病原体可在脊椎动物和人类之间自然传播,反之亦然。人畜共患真菌病原体的种类有限,但有些物种,如来自猫的犬小孢子菌和巴西孢子丝菌,对公共卫生有很大影响。霉菌毒素被定义为源自真菌且对温血脊椎动物有毒的化学物质。黄曲霉毒素和赭曲霉毒素中毒对人类和动物健康都构成威胁。接受抗真菌药物治疗的不同动物物种都可能出现抗真菌耐药性,尽管动物中耐药性的真实流行病学情况尚不清楚,且治疗耐药感染引起的感染的选择有限。