Case of Mixed Infection of Toenail Caused by <i>Candida parapsilosis</i> and <i>Exophiala dermatitidis</i> and In Vitro Effectiveness of Propolis Extract on Mixed Biofilm

Onychomycosis is a chronic fungal nail infection caused by several filamentous and yeast-like fungi, such as the genus <i>Candida</i> spp., of great clinical importance. Black yeasts, such as <i>Exophiala dermatitidis</i>, a closely related <i>Candida</i> spp. spe...

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Bibliographic Details
Main Authors: Alana Salvador, Flávia Franco Veiga, Terezinha Inez Estivalet Svidzinski, Melyssa Negri
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Journal of Fungi
Subjects:
Online Access:https://www.mdpi.com/2309-608X/9/5/581
Description
Summary:Onychomycosis is a chronic fungal nail infection caused by several filamentous and yeast-like fungi, such as the genus <i>Candida</i> spp., of great clinical importance. Black yeasts, such as <i>Exophiala dermatitidis</i>, a closely related <i>Candida</i> spp. species, also act as opportunistic pathogens. Fungi infectious diseases are affected by organisms organized in biofilm in onychomycosis, making treatment even more difficult. This study aimed to evaluate the in vitro susceptibility profile to propolis extract and the ability to form a simple and mixed biofilm of two yeasts isolated from the same onychomycosis infection. The yeasts isolated from a patient with onychomycosis were identified as <i>Candida parapsilosis sensu stricto</i> and <i>Exophiala dermatitidis</i>. Both yeasts were able to form simple and mixed (in combination) biofilms. Notably, <i>C. parapsilosis</i> prevailed when presented in combination. The susceptibility profile of propolis extract showed action against <i>E. dermatitidis</i> and <i>C. parapsilosis</i> in planktonic form, but when the yeasts were in mixed biofilm, we only observed action against <i>E. dermatitidis</i>, until total eradication.
ISSN:2309-608X