Skip directly to site content Skip directly to page options Skip directly to A-Z link Skip directly to A-Z link Skip directly to A-Z link
Volume 29, Number 12—December 2023
Dispatch

Human Lobomycosis Caused by Paracoccidioides (Lacazia) loboi, Panama, 2022

Jose A. Suárez, Betty Cerrud, Monica Pachar, Luz H. Patiño, Jason Reidy, Amina Chace, Roderick Chen-Camaño, Diógenes Alvarado-Barría, Mohammad Z. Nakadar, Juan D. Ramirez, and Alberto Paniz-Mondolfi
Author affiliations: Universidad Internacional Sek Quito, Quito, Ecuador (J.A. Suárez); Instituto Conmemorativo Gorgas de Estudios de la Salud, Panama City, Panama (B. Cerrud, R. Chen-Camaño); Hospital Santo Tomas, Panama City (M. Pachar); Panama College of Environmental Engineer, Panama City (D. Alvarado-Barría); Icahn School of Medicine at Mount Sinai, New York, New York, USA (J. Reidy, A. Chace, L. H Patiño, M.Z. Nakadar, J.D. Ramirez, A. Paniz-Mondolfi)

Main Article

Figure 2

Phylogenetic relationship of ADP-rf, Gp43, and internal transcribed spacer (ITS) 1 and 2 genes from patient in Panama who had lobomycosis with other Paracoccidioides species. Trees indicate phylogenetic analysis inferred by maximum-likelihood method of the ADP-rf (A), Gp43 (B), and ITS1–ITS2 (C) genes. Analyses included sequences obtained from research conducted by Vilela et al. (7) and the Panama case analyzed in this study (red). Each color in the trees represent different clusters identified: yellow, Paracoccidioides cetti; white, P. restrepiensis/venezuelensis; gray, P. brasiliensis; green, P. americana; light blue, P. lutzii; and light purple, P. loboi. Gray triangles indicate genomes of the same clade belonging to P. restrepiensis, P. venezuelensis, or P. brasiliensis (to the ADP-rf gene, 49 genomes; to the Gp43 gene, 32 genomes; and to ITS1-ITS2 gene, 52 genomes). Histoplasma capsulatum and Ajellomyces capsulatus DNA sequences were used as outgroups for ADP-rf and ITS genes, respectively. Scale bars indicate nucleotide substitutions per site.

Figure 2. Phylogenetic relationship of ADP-rf, Gp43, and internal transcribed spacer (ITS) 1 and 2 genes from patient in Panama who had lobomycosis with other Paracoccidioides species. Trees indicate phylogenetic analysis inferred by maximum-likelihood method of the ADP-rf (A), Gp43 (B), and ITS1–ITS2 (C) genes. Analyses included sequences obtained from research conducted by Vilela et al. (7) and the Panama case analyzed in this study (red). Each color in the trees represent different clusters identified: yellow, Paracoccidioides cetti; white, P. restrepiensis/venezuelensis; gray, P. brasiliensis; green, P. americana; light blue, P. lutzii; and light purple, P. loboi. Gray triangles indicate genomes of the same clade belonging to P. restrepiensis, P. venezuelensis, or P. brasiliensis (to the ADP-rf gene, 49 genomes; to the Gp43 gene, 32 genomes; and to ITS1-ITS2 gene, 52 genomes). Histoplasma capsulatum and Ajellomyces capsulatus DNA sequences were used as outgroups for ADP-rf and ITS genes, respectively. Scale bars indicate nucleotide substitutions per site.

Main Article

References
  1. Paniz-Mondolfi  A, Talhari  C, Sander Hoffmann  L, Connor  DL, Talhari  S, Bermudez-Villapol  L, et al. Lobomycosis: an emerging disease in humans and delphinidae. Mycoses. 2012;55:298309.
  2. Lobo  JO. New species of blastomycosis [in Portuguese]. Bras Med. 1930;44:1227.
  3. Vilela  R, Huebner  M, Vilela  C, Vilela  G, Pettersen  B, Oliveira  C, et al. The taxonomy of two uncultivated fungal mammalian pathogens is revealed through phylogeny and population genetic analyses. Sci Rep. 2021;11:18119.
  4. Lau  A, Chen  S, Sorrell  T, Carter  D, Malik  R, Martin  P, et al. Development and clinical application of a panfungal PCR assay to detect and identify fungal DNA in tissue specimens. J Clin Microbiol. 2007;45:3805.
  5. Minh  BQ, Schmidt  HA, Chernomor  O, Schrempf  D, Woodhams  MD, von Haeseler  A, et al. IQ-TREE 2: new models and efficient methods for phylogenetic inference in the genomic era. Mol Biol Evol. 2020;37:15304.
  6. Letunic  I, Bork  P. Interactive Tree Of Life (iTOL) v4: recent updates and new developments. Nucleic Acids Res. 2019;47(W1):W256–9.
  7. Vilela  R, de Hoog  S, Bensch  K, Bagagli  E, Mendoza  L. A taxonomic review of the genus Paracoccidioides, with focus on the uncultivable species. PLoS Negl Trop Dis. 2023;17:e0011220.
  8. Herr  RA, Tarcha  EJ, Taborda  PR, Taylor  JW, Ajello  L, Mendoza  L. Phylogenetic analysis of Lacazia loboi places this previously uncharacterized pathogen within the dimorphic Onygenales. J Clin Microbiol. 2001;39:30914.
  9. Bermudez  L, Van Bressem  MF, Reyes-Jaimes  O, Sayegh  AJ, Paniz-Mondolfi  AE. Lobomycosis in man and lobomycosis-like disease in bottlenose dolphin, Venezuela. Emerg Infect Dis. 2009;15:13013.
  10. Taborda  PR, Taborda  VA, McGinnis  MR. Lacazia loboi gen. nov., comb. nov., the etiologic agent of lobomycosis. J Clin Microbiol. 1999;37:20313.
  11. Mendoza  L, Ajello  L, Taylor  JW. The taxonomic status of Lacazia loboi and Rhinosporidium seeberi has been finally resolved with the use of molecular tools. Rev Iberoam Micol. 2001;18:958.
  12. Rodrigues  AM, Hagen  F, Puccia  R, Hahn  RC, de Camargo  ZP. Paracoccidioides and paracoccidioidomycosis in the 21st century. Mycopathologia. 2023;188:12933.
  13. Cabañes  FJ. Lobomycosis and paracoccidioidomycosis meet again. Rev Iberoam Micol. 2022;39:5960.
  14. Francesconi  VA, Klein  AP, Santos  AP, Ramasawmy  R, Francesconi  F. Lobomycosis: epidemiology, clinical presentation, and management options. Ther Clin Risk Manag. 2014;10:85160.
  15. Tapia  A, Torres-Calcindo  A, Arosemena  R. Keloidal blastomycosis (Lobo’s disease) in Panama. Int J Dermatol. 1978;17:5724.

Main Article

Page created: September 20, 2023
Page updated: November 18, 2023
Page reviewed: November 18, 2023
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
file_external