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Equine veterinary journal2002; 34(7); 749-752; doi: 10.2746/042516402776250342

Disseminated pulmonary adiaspiromycosis caused by Emmonsia crescens in a horse.

Abstract: Adiaspiromycosis is a fungal disease of the lung caused by the saprophytic soil mould Emmonsia crescens or, more rarely, E. p a rv a. The fungus affects lower order mammals, mostly rodents, and rarely man, although the organism is distributed worldwide (Sigler 1998). In veterinary medicine, the disease has been reported as an incidental histopathological finding in the lungs of one goat and 2 dogs (Al-Doory et al. 1971; Koller et al. 1976; Koller and Helfer 1978). The term adiaspiromycosis derives from the conidia of this fungus, the adiaconidia, which exhibit the unique property of progressive enlargement, without replication (Rippon 1988). Inhalation of soil dust containing spores appears to be the main route of infection, therefore restricting the infection to the lung. An inhaled conidium, 2–4 μm diameter, can grow to 200–400 μm or more, which results in considerable expansion. The pulmonary lesions produced by the enlarging conidia consist of confluent, fibrotic granulomas, each containing one or more spherical, thick- walled adiaconidia (Watts et al. 1975). The disease can be localised and symptomless, or disseminated, resulting in severe, even fatal, disease (England and Hochholzer 1993). The severity and extent of the disease in the lungs depends on the number of conidia inhaled. Diagnosis of adiaspiromycosis is generally made by observation of characteristic adiaspores in a lung tissue specimen with light microscopy, as there are no reliable serological tests and culture is often unrewarding (Sigler 1998). This paper describes the first reported case of disseminated pulmonary adiaspiromycosis in a horse, which was diagnosed with pulmonary histopathology and molecular techniques.
Publication Date: 2002-12-05 PubMed ID: 12462193DOI: 10.2746/042516402776250342Google Scholar: Lookup
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Summary

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The research article is about a case study of a horse infected with a rare fungal lung disease called adiaspiromycosis, which is generally found in lower mammals and rarely in humans. This case provides the first recorded instance of this disease in a horse.

Overall Understanding of Adiaspiromycosis

  • Adiaspiromycosis is a fungal lung disease caused by the Emmonsia Crescens or, infrequently, E. parva fungus.
  • The disease proliferates mostly in lower mammals, like rodents, and rarely in humans.
  • The fungus is worldwide in distribution but has hardly been reported in veterinary medicine.
  • Historically, the disease has been found in the lungs of one goat and two dogs.

Understanding the Fungus and Infection Process

  • The name adiaspiromycosis comes from the fungus’s spores, called adiaconidia.
  • These spores have a unique property of enlarging progressively without replication.
  • The primary mode of infection is through the inhalation of soil dust bearing these spores, limiting the infection to lung tissue.
  • Once inhaled, a spore can grow in size considerably, causing significant lung tissue expansion.
  • The lung lesions produced by the enlarging spores are fibrotic granulomas, each containing one or more thick-walled adiaconidia.

Disease Manifestation and Diagnosis

  • The manifestation of the disease can be localized and symptomless or widespread, leading to severe or even fatal conditions.
  • The extent of the disease in the lungs is directly correlated to the number of inhaled spores.
  • In most cases, diagnosis is made by observing the characteristic adiaspores in a lung tissue sample under light microscopy as there isn’t any reliable serological test for this disease and culture tests often show no results.

Main Focus of the Study

  • This article outlines the first-ever reported case of disseminated pulmonary adiaspiromycosis in a horse.
  • The researchers made the diagnosis through pulmonary histopathology, the microscopic examination of lung tissue, and molecular techniques, a scientific method to identify microorganisms on a molecular level.

Cite This Article

APA
Pusterla N, Pesavento PA, Leutenegger CM, Hay J, Lowenstine LJ, Durando MM, Magdesian KG. (2002). Disseminated pulmonary adiaspiromycosis caused by Emmonsia crescens in a horse. Equine Vet J, 34(7), 749-752. https://doi.org/10.2746/042516402776250342

Publication

ISSN: 0425-1644
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 34
Issue: 7
Pages: 749-752

Researcher Affiliations

Pusterla, N
  • Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis 95616, USA.
Pesavento, P A
    Leutenegger, C M
      Hay, J
        Lowenstine, L J
          Durando, M M
            Magdesian, K G

              MeSH Terms

              • Animals
              • Base Sequence
              • Chrysosporium / genetics
              • Chrysosporium / pathogenicity
              • DNA, Fungal
              • Diagnosis, Differential
              • Fatal Outcome
              • Horse Diseases / diagnosis
              • Horse Diseases / microbiology
              • Horses
              • Immunohistochemistry / veterinary
              • Lung / microbiology
              • Lung / pathology
              • Lung Diseases, Fungal / diagnosis
              • Lung Diseases, Fungal / microbiology
              • Lung Diseases, Fungal / veterinary
              • Male
              • Molecular Sequence Data
              • Polymerase Chain Reaction

              Citations

              This article has been cited 7 times.
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                doi: 10.1038/s41598-020-79521-6pubmed: 33432031google scholar: lookup
              2. Takeshige A, Nakano M, Kondoh D, Tanaka Y, Sekiya A, Yaguchi T, Furuoka H, Toyotome T. Adiaspore development and morphological characteristics in a mouse adiaspiromycosis model.. Vet Res 2020 Sep 15;51(1):119.
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                doi: 10.1007/s11046-019-00353-8pubmed: 31325117google scholar: lookup
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                doi: 10.1177/1040638718772631pubmed: 29717642google scholar: lookup
              5. Matsuda K, Niki H, Yukawa A, Yanagi M, Souma K, Masuko T, Taniyama H. First detection of adiaspiromycosis in the lungs of a deer.. J Vet Med Sci 2015 Aug;77(8):981-3.
                doi: 10.1292/jvms.15-0083pubmed: 25787928google scholar: lookup
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                doi: 10.5625/lar.2012.28.1.67pubmed: 22474477google scholar: lookup
              7. Dot JM, Debourgogne A, Champigneulle J, Salles Y, Brizion M, Puyhardy JM, Collomb J, Plénat F, Machouart M. Molecular diagnosis of disseminated adiaspiromycosis due to Emmonsia crescens.. J Clin Microbiol 2009 Apr;47(4):1269-73.
                doi: 10.1128/JCM.01885-08pubmed: 19244459google scholar: lookup