Malassezia species of lipophilic yeasts account for most fungal microbiota. Although they colonize healthy skin, they are also associated with several skin diseases, including pityriasis versicolor, seborrheic dermatitis, Malassezia folliculitis, and atopic dermatitis. To date, 14 members of the Malassezia genus have been identified. Of these, both M. globosa and M. restricta predominate, regardless of skin-disease type. Comprehensive analysis of fungal microbiota in the skin of patients with atopic dermatitis using an rRNA clone library method revealed that fungal microbiota cluster according to disease severity. The external ear canal and sole of the foot are colonized by specific Malassezia microbiota.

View full abstract

Malassezia pachydermatis is the major species in Malassezia isolated from dogs, and there is a presumably Malassezia-associated skin disease,“Malassezia dermatitis” in the dog. The skin lesion is characterized by relatively demarcated erythema with some scaling at the sebum-rich areas, in which lichenification and hyperpigmentation could be involved in the chronic stage. The clinical features suggest that it corresponds to seborrheic dermatitis in humans. Hence, it might be possible to identify essential pathogenesis of the disease by clarifying its differences in humans and animals as a shared disease.

View full abstract

Co-culture of the fungal pathogen Cryptococcus neoformans with Staphylococcus aureus results in the death of the fungus, caused by the adherence to the latter. The present study found that the molecules responsible for this adherence were capsular glucuronoxylomannan (GXM) (present on C. neoformans) and a glycolytic enzyme triosephosphate isomerase (TPI) (present on S. aureus). The mannan backbone of GXM and purified TPI interacted in vitro. GXM-bound TPI molecules were identified by immunoelectron microscopy. The death of C. neoformans was accompanied by decreased actin turnover, increased accumulation of reactive oxygen species, and DNA fragmentation. This process may also be influenced by the Rho/Rho-associated coiled-coil-forming kinase (ROCK) pathway and enhanced expression of voltage-dependent ion-selective channels. Taken together, these results suggest that Rho-ROCK signaling may play a role via the mitochondrial pathway in the induction of C. neoformans apoptosis-like cell death after its adherence to S. aureus adherence.

View full abstract

A bibliographic search was conducted of cases of Candida endophthalmitis reported in Japan and overseas between 2000 and 2011, in the Japana Centra Revuo Medicina Website of Japan Medical Abstracts Society (domestic reports) and MEDLINE (overseas reports). The investigation yielded 42 reports in domestic journals (49 cases ; hereinafter referred to as domestic cases) and 39 reports in journals published overseas (46 cases ; hereinafter referred to as overseas cases). The isolation rate of Candida albicans in the domestic cases was 65.3%, and that in the overseas cases was 71.7%. The initial treatment for the Candida endophthalmitis was fluconazole (FLCZ) therapy in 51.0% of the domestic cases and 38.1% of the overseas cases. Domestic reports suggested the effectiveness of FLCZ therapy for stage II cases, and of vitrectomy for stage III and IV cases. Reports from overseas, on the other hand, suggested the effectiveness of amphotericin B (AMPH-B) or voriconazole (VRCZ) therapy for stage II cases, and of vitrectomy for stage III and IV cases.

View full abstract