Mixed infection by Histoplasma capsulatum isolates with different mating types in Brazilian AIDS-patients

Rev Inst Med Trop Sao Paulo. 2019 Feb 14:61:e8. doi: 10.1590/S1678-9946201961008.

Abstract

Mixed infection by Histoplasma capsulatum isolates with different mating types, in AIDS-patients are described in this study. Morphological, mating type-specific PCR assay and multilocus sequencing type analysis of H. capsulatum isolates recovered from two Brazilian AIDS-patients were performed. Five H. capsulatum isolates were recovered at different times from the two patients. Three isolates were obtained from bone marrow (day 1 - CE0411) and buffy coat cultures (day 1 - CE0311; day 2 - CE0511) of patient 1, and two isolates were isolated from buffy coat cultures (day 3 - CE2813; day 12 - CE2513) of patient 2. The mycelial colonies depicted different textures and pigmentation features. Dimorphic conversion to the yeast-phase in ML-Gema medium was achieved in all isolates. MAT1-1 idiomorph was identified in CE0311, CE0411 and CE2813 isolates; MAT1-2 idiomorph was found in CE0511 and CE2513 isolates. These H. capsulatum isolates were grouped within LAm A clade, highlighting that CE0311 and CE0411 isolates formed a subgroup supported by a high bootstrap value. The CE0511, CE2513, and CE2813 isolates clustered together with a Brazilian H151 isolate. This research reports mixed infections caused by H. capsulatum isolates with different mating types in Brazilian AIDS-patients for the first time in the literature.

Publication types

  • Case Reports

MeSH terms

  • AIDS-Related Opportunistic Infections / microbiology*
  • Adult
  • DNA, Fungal / genetics*
  • Genes, Mating Type, Fungal / genetics*
  • Histoplasma / genetics*
  • Histoplasma / isolation & purification
  • Histoplasmosis / microbiology*
  • Humans
  • Male
  • Middle Aged
  • Multilocus Sequence Typing
  • Phylogeny
  • Polymerase Chain Reaction

Substances

  • DNA, Fungal