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Background: Many comprehensive epidemiological studies have been done about fungal infections, which areone of the publichealth and therapeutic problemsin different communities. Since prevalence rate of fungal diseases and their etiological agents are changing over time,the aim of this study was to provide additional information about visceral fungal infections (VFIs) in order to understand the ways of their dissemination, to prevent disease transmission, to eliminate contamination sources and predisposing factors, and to provide effective ways for their treatment.
Materials and Methods: Samples were taken from the lesion of patients referred to medical mycology laboratory of Tehran University of Medical Sciences from 2014 to 2015. After providing direct wet mount of Potassium hydroxide (KOH) smears from these samples and samples sent from other medical centers, culturing on Sabouraud Dextrose agar with chloramphenicol (SC) and brain heart infusion agar (BHI) media was performed. After growth, species were identified.
Results: From a total of 295 suspected samples, VFI was proved in 69 cases (23%). Aspergillosis was the most prevalent infection among VFIs. Candidiasis, cryptococcosis and mucormycosis were in the late orders, respectively. Two patients were also infected by Trichosporon. The predominant species in aspergillosis infections was Aspergillus flavus, and the predominant species in candidiasis infections was Candida albicans.
Conclusion: According to the obtained results on the prevalence rate and incidence of VFIs between male and female patients in different age groups and also by taking into account the prevalent type of fungi and infectious site of patients’ bodies, it is possible to take appropriate action for the prevention and treatment of these kinds of diseases by using the important keys of these results to research and study etiological and underlying factors involved in these diseases.

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Background: Many studies have been conducted on fungal infections which are known as public health and therapeutic problems. Since the prevalence rate of the fungal diseases and their etiological factors are changing over time, the purpose of this study was to identify the prevalence rate of superficial-cutaneous fungal infections (SCFIs) in order to understand the ways of their dissemination, to prevent diseases transmission, to eliminate contamination sources and predisposing factors, and to take appropriate action for their treatment.
Materials and Methods: After referral to medical mycology laboratory of Tehran University of Medical Science from 2014 to 2015, the patients were subjected to mycological examinations, and sampling of patients’ lesions was performed. Directsmears were prepared with Potassium hydroxide. Samples were cultured on Sabouraud dextrose agar medium, and species were identified.
Results: From a total of 916 suspected patients, 334 cases (36.5%) had SCFIs. Dermatophytosis was the most prevalent SCFI (55.7%), followed by cutaneous candidiasis (19%), tinea versicolor (14.3%), and non-dermatophytic molds (11%).Tineapedis was the frequent site of involvement. Trichophytonmentagrophytes was the predominant species of dermatophytosis.
Conclusion: According to the obtained results on the prevalence rate of SCFIs between male and female patients in different age groups and also by taking into account the type of the prevalent fungi and the involvement site of the fungal infection, it is possible to take appropriate action for prevention and treatment of these kind of diseases by using important keys of the results to research etiological and underlying factors involved in these diseases.

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Aims: In imbalanced conditions, Candida species colonization as a normal microflora of human skin and some mucosal surfaces is replaced by invasive forms (budding yeast cells, pseudohyphae, and true hyphae). This study aimed to investigate the frequency of Candida species and candidiasis with emphasis on the presence and propensity of different Candida species for pseudohyphae and true hyphae formation  in clinical samples taken from various clinical forms of candidiasis.
Materials & Methods: In this cross-sectional study (2018 to 2019), sampling was done from 492  patients suspected to candidiasis, referred to the Medical Mycology Laboratory. Employing direct microscopy and culturing methods, the Candida species were identified using morphological and biochemical characteristics and also PCR-RFLP and DNA sequencing.
Findings: From a total of 96 candidiasis patients, 44.9% were identified with superficial-cutaneous and 55.1% with visceral candidiasis. The most clinical strains were isolated from fingernail scrapings (33.2%), followed by bronchoalveolar lavage samples (17%). The mycelium was found in 55.2% of the cases, and the highest frequency was related to the nail specimens (34%, p <.05). C. albicans was the predominant species forming mycelium (69.8%), followed by C. tropicalis, but no mycelium was found in C. guilliermondii cases. Mycelium formation was observed more in patients with an underlying disease such as AIDS and organ transplantation (p <.05).
Conclusion: Non-albicans Candida species have also the propensity to induce an invasive form of mycelial in the skin and to increase internal organs temperature, exacerbating clinical symptoms. This finding is important for choosing proper antifungal treatments and should be taken into account by clinicians.

 

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Background: The present investigation aimed to survey the in-vitro inhibitory effects of nitroglycerin against Candida albicans, Trichophyton rubrum, and Aspergillus flavus.
Materials & Methods: In the current investigation, 99 fungal isolates were gathered from patients referred to the Medical Mycology Laboratory of Tehran University of Medical Sciences. The disk diffusion method was done based on Clinical and Laboratory Standards Institute (CLSI) M44-S2 guidelines. Also, the microdilution method was performed base on CLSI guidelines for filamentous fungi (document M38-A2) and yeasts (document M27-A3).
Findings: In the disk diffusion method, all isolates of C. albicans (n=33, 100%) and A. flavus (n=33, 100%) showed sensitivity to nitroglycerin, whereas all isolates of T. rubrum (n=33, 100%) showed resistance to nitroglycerin. On the other hand, in the microdilution method, the minimum inhibitory concentration (MIC) of nitroglycerin against C. albicans and A. flavus isolates was 0.5 mg/mL, whereas the MIC of nitroglycerin against T. rubrum was 0.12 mg/mL.
The results showed that the MIC of nitroglycerin against dermatophytes was about one-quarter of its MIC against C. albicans and A. flavus, and this difference was statistically significant (p< .05).
Conclusion: Considering the potential and efficacy of nitroglycerin against yeasts and filamentous fungi (saprophytes and dermatophytes), complementary in-vivo and in-vitro studies should be done.