Skip to main content

Advertisement

Log in

Chlamydospores of Rhizopus microsporus var. rhizopodiformis in Tissue of Pulmonary Mucormycosis

  • Published:
Mycopathologia Aims and scope Submit manuscript

Abstract

Hyphae are usually the only fungal elements found in tissue of mucormycosis, and other fungal elements are quite rarely encountered. We found chlamydospores in bronchial lumina in autopsied tissue of pulmonary mucormycosis of a diabetic patient. Chlamydospores are thick-walled, asexually produced spores arising from the modification of a hyphal segment. This is the first histologic demonstration of chlamydospores in mucormycosis in which the causative fungus is culturally identified to species level. Rhizopus microsporus var. rhizopodiformis was isolated from the present autopsied pulmonary tissue. A literature review of human infection by this fungus found 27 cases with histopathologic evidence.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Roden MM, Zaoutis TE, Buchanan WL, Knudsen TA, Sarkisova TA, Schaufele RL, et al. Epidemiology and outcome of zygomycosis: a review of 929 reported cases. Clin Infect Dis. 2005;41:634–53.

    Article  PubMed  Google Scholar 

  2. Kwon-Chung KJ, Bennett JE. Mucormycosis. In: Kwon-Chung KJ, Bennett JE, editors. Medical mycology. Philadelphia: Lea & Febiger; 1992. p. 524–59.

    Google Scholar 

  3. Ribes JA, Vanover-Sams CL, Baker DJ. Zygomycetes in human disease. Clin Microbiol Rev. 2000;13:236–301.

    Article  PubMed  CAS  Google Scholar 

  4. La Touche CJ, Sutherland TW, Telling M. Histopathological and mycological features of a case of rhinocerebral mucormycosis (phycomycosis) in Britain. Sabouraudia. 1964;3:148–50.

    Article  PubMed  Google Scholar 

  5. Chandler FW, Watts JC, Kaplan W, Hendry AT, McGinnis MR, Ajello L. Zygomycosis. Report of four cases with formation of chlamydoconidia in tissue. Am J Clin Pathol. 1985;84:99–103.

    PubMed  CAS  Google Scholar 

  6. Kimura M, Schnadig VJ, McGinnis MR. Chlamydoconidia formation in zygomycosis due to Rhizopus species. Arch Pathol Lab Med. 1998;122:1120–2.

    PubMed  CAS  Google Scholar 

  7. Griffiths DA. The origin, structure and function of chlamydospores in fungi. In: Mattick F, Gerloff J, Poelt J, editors. Nova Hedwigia. Berlin: Verlag von J Cramer; 1974. p. 503–48.

    Google Scholar 

  8. White TJ, Bruns T, Lee S, Taylor JW. Amplification and direct sequencing of fungal ribosomal RNA genes for phylogenetics. In: Innis MA, Gelfand DH, Sninsky JJ, White TJ, editors. PCR protocols: a guide to methods and applications. New York: Academic Press; 1990. p. 315–22.

    Google Scholar 

  9. Institute CaLS. Reference method for broth dilution antifungal susceptibility testing of filamentous fungi; approved standard. 2nd ed. M38-A2. Wayne: Clinical and Laboratory Standards Institute; 2008.

  10. Baker RD, Seabury JH, Schneidau JD Jr. Subcutaneous and cutaneous mucormycosis and subcutaneous phycomycosis. Lab Invest. 1962;11:1091–102.

    PubMed  CAS  Google Scholar 

  11. Gartenberg G, Bottone EJ, Keusch GT, Weitzman I. Hospital-acquired mucormycosis (Rhizopus rhizopodiformis) of skin and subcutaneous tissue: epidemiology, mycology and treatment. N Engl J Med. 1978;299:1115–8.

    Article  PubMed  CAS  Google Scholar 

  12. Bottone EJ, Weitzman I, Hanna BA. Rhizopus rhizopodiformis: emerging etiological agent of mucormycosis. J Clin Microbiol. 1979;9:530–7.

    PubMed  CAS  Google Scholar 

  13. Sheldon DL, Johnson WC. Cutaneous mucormycosis. Two documented cases of suspected nosocomial cause. JAMA. 1979;241:1032–4.

    Article  PubMed  CAS  Google Scholar 

  14. Marchevsky AM, Bottone EJ, Geller SA, Giger DK. The changing spectrum of disease, etiology, and diagnosis of mucormycosis. Hum Pathol. 1980;11:457–64.

    Article  PubMed  CAS  Google Scholar 

  15. Myskowski PL, Brown AE, Dinsmore R, Kiehn T, Edwards F, Wong B, et al. Mucormycosis following bone marrow transplantation. J Am Acad Dermatol. 1983;9:111–5.

    Article  PubMed  CAS  Google Scholar 

  16. Rosenberger RS, West BC, King JW. Survival from sino-orbital mucormycosis due to Rhizopus rhizopodiformis. Am J Med Sci. 1983;286:25–30.

    Article  PubMed  CAS  Google Scholar 

  17. West BC, Kwon-Chung KJ, King JW, Grafton WD, Rohr MS. Inguinal abscess caused by Rhizopus rhizopodiformis: successful treatment with surgery and amphotericin B. J Clin Microbiol. 1983;18:1384–7.

    PubMed  CAS  Google Scholar 

  18. Iqbal SM, Scheer RL. Myocardial mucormycosis with emboli in a hemodialysis patient. Am J Kidney Dis. 1986;8:455–8.

    PubMed  CAS  Google Scholar 

  19. Boelaert JR, van Roost GF, Vergauwe PL, Verbanck JJ, de Vroey C, Segaert MF. The role of desferrioxamine in dialysis-associated mucormycosis: report of three cases and review of the literature. Clin Nephrol. 1988;29:261–6.

    PubMed  CAS  Google Scholar 

  20. Nakamura M, Weil WB Jr, Kaufman DB. Fatal fungal peritonitis in an adolescent on continuous ambulatory peritoneal dialysis: association with deferoxamine. Pediatr Nephrol. 1989;3:80–2.

    Article  PubMed  CAS  Google Scholar 

  21. Norden G, Bjorck S, Persson H, Svalander C, Li XG, Edebo L. Cure of zygomycosis caused by a lipase-producing Rhizopus rhizopodiformis strain in a renal transplant patient. Scand J Infect Dis. 1991;23:377–82.

    Article  PubMed  CAS  Google Scholar 

  22. Tan HP, Razzouk A, Gundry SR, Bailey L. Pulmonary Rhizopus rhizopodiformis cavitary abscess in a cardiac allograft recipient. J Cardiovasc Surg (Torino). 1999;40:223–6.

    CAS  Google Scholar 

  23. Maravi-Poma E, Rodriguez-Tudela JL, de Jalon JG, Manrique-Larralde A, Torroba L, Urtasun J, et al. Outbreak of gastric mucormycosis associated with the use of wooden tongue depressors in critically ill patients. Intensive Care Med. 2004;30:724–8.

    Article  PubMed  Google Scholar 

  24. Stark D, Milliken S, Marriott D, Harkness J. Rhizopus microsporus var. rhizopodiformis sinus-orbital zygomycosis in an immunosuppressed patient: successful treatment with posaconazole after a complicated clinical course. J Med Microbiol. 2007;56:699–701.

    Article  PubMed  CAS  Google Scholar 

  25. Dekkers R, Verweij PE, Weemaes CM, Severijnen RS, Van Krieken JH, Warris A. Gastrointestinal zygomycosis due to Rhizopus microsporus var. rhizopodiformis as a manifestation of chronic granulomatous disease. Med Mycol. 2008;46:491–4.

    Article  PubMed  Google Scholar 

  26. Johnson KE, Leahy K, Owens C, Blankson JN, Merz WG, Goldstein BJ. An atypical case of fatal zygomycosis: simultaneous cutaneous and laryngeal infection in a patient with a non-neutropenic solid prostatic tumor. Ear Nose Throat J. 2008;87:152–5.

    PubMed  Google Scholar 

  27. Sedlacek P, Vavra V, Masova I, Codl D, Laznickova T, Malaskova L, et al. Successful therapy with ABLC, surgery and posaconazole for Rhizopus microsporus var. rhizopodiformis liver eumycetoma in a child with acute leukaemia. Mycoses. 2009;52:276–9.

    Article  PubMed  Google Scholar 

  28. Hofman V, Dhouibi A, Butori C, Padovani B, Gari-Toussaint M, Garcia-Hermoso D, et al. Usefulness of molecular biology performed with formaldehyde-fixed paraffin embedded tissue for the diagnosis of combined pulmonary invasive mucormycosis and aspergillosis in an immunocompromised patient. Diagn Pathol. 2010;5.

  29. Saegeman V, Maertens J, Ectors N, Meersseman W, Lagrou K. Epidemiology of mucormycosis: review of 18 cases in a tertiary care hospital. Med Mycol. 2010;48:245–54.

    Article  PubMed  CAS  Google Scholar 

  30. Ribeiro LC, Wanke B, da Silva M, Dias LB, Mello R, Canavarros FA, et al. Mucormycosis in Mato Grosso, Brazil: a case reports, caused by Rhizopus microsporus var. oligosporus and Rhizopus microsporus var. rhizopodiformis. Mycopathologia. 2012;173:187–92.

    Article  PubMed  Google Scholar 

  31. Frater JL, Hall GS, Procop GW. Histologic features of zygomycosis: emphasis on perineural invasion and fungal morphology. Arch Pathol Lab Med. 2001;125:375–8.

    PubMed  CAS  Google Scholar 

Download references

Acknowledgments

The authors gratefully acknowledge the help of Mr. Yoshitaka Horiuchi, Life Science Research Institute, Kinki University, Osaka-Sayama, Osaka, Japan, in performing scanning electron microscopy of the cultured fungus and Prof. Michiaki Masuda, Department of Microbiology, Dokkyo Medical University School of Medicine for his genetic analysis.

Conflict of interest

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Masatomo Kimura.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kimura, M., Nishimura, K., Enoki, E. et al. Chlamydospores of Rhizopus microsporus var. rhizopodiformis in Tissue of Pulmonary Mucormycosis. Mycopathologia 174, 441–450 (2012). https://doi.org/10.1007/s11046-012-9560-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11046-012-9560-9

Keywords

Navigation