Mycoses. 2020;00:1–12. wileyonlinelibrary.com/journal/myc | 1 © 2020 Wiley-VCH GmbH
Received: 19 June 2020
|
Revised: 5 October 2020
|
Accepted: 11 October 2020
DOI: 10.1111/myc.13198
ORIGINAL ARTICLE
Purpureocillium roseum sp. nov. A new ocular pathogen for
humans and mice resistant to antifungals
Rosa Paulina Calvillo-Medina
1
| Diana Gabriela Ponce-Angulo
2
| Tania Raymundo
3
|
Carlos Adolfo Müller-Morales
4
| Efraín Escudero-Leyva
5,6
| Juan Campos Guillén
1
|
Victor Manuel Bautista-de Lucio
2
1
Laboratorio de Microbiología Molecular,
Universidad Autónoma de Querétaro,
Santiago de Querétaro, Mexico
2
Departamento de Microbiología
y Proteómica Ocular, Instituto de
Oftalmología “Fundación de Asistencia
Privada Conde de Valenciana”, Mexico
City, Mexico
3
Laboratorio de Micología, Escuela
Nacional de Ciencias Biológicas, Instituto
Politécnico Nacional, Mexico City, Mexico
4
Departamento de Córnea y Cirugía
Refractiva, Instituto de Oftalmología
“Fundación de Asistencia Privada Conde
de Valenciana”, Mexico City, Mexico
5
Centro de Investigaciones en Productos
Naturales (CIPRONA) y Escuela de
Biología, Universidad de Costa Rica, San
José, Costa Rica
6
Centro Nacional de Innovaciones
Biotecnológicas (CENIBiot), y Centro
Nacional de Computación Avanzada
(CNCA), CeNAT-CONARE, San José, Costa
Rica
Correspondence
Victor Manuel Bautista-de Lucio,
Microbiology and Ocular Proteomics
Department, Research Unit, Institute of
Ophthalmology “Fundación de Asistencia
Privada Conde de Valenciana” IAP,
Chimalpopoca 14, Colonia Obrera, 06800,
Mexico City, Mexico.
Email: vbautistal@institutodeoftalmologia.org
Funding information
The authors acknowledge the financial
support from Instituto de Oftalmología
‘Fundación Conde de Valencia’ IAP, Mexico
City, Mexico.
Abstract
Background: Infectious keratitis is the main cause of preventable blindness world-
wide, with about 1.5–2.0 million new cases occurring per year. This inflammatory re-
sponse may be due to infections caused by bacteria, fungi, viruses or parasites. Fungal
keratitis is a poorly studied health problem.
Objectives: This study aimed to identify a new fungal species by molecular methods
and to explore the possible efficacy of the three most common antifungals used in
human keratitis in Mexico by performing in vitro analysis. The capacity of this patho-
gen to cause corneal infection in a murine model was also evaluated.
Methods: The fungal strain was isolated from a patient with a corneal ulcer. To iden-
tify the fungus, taxonomic and phylogenetic analyses (nrDNA ITS and LSU data set)
were performed. An antifungal susceptibility assay for amphotericin B, itraconazole
and voriconazole was carried out. The fungal isolate was used to develop a keratitis
model in BALB/c mice; entire eyes and ocular tissues were preserved and processed
for histopathologic examination.
Results and conclusion: This fungal genus has hitherto not been reported with human
keratitis in Mexico. We described a new species Purpurecillium roseum isolated from
corneal infection. P roseum showed resistance to amphotericin B and itraconazole and
was sensitive to voriconazole. In vivo study demonstrated that P roseum had capac-
ity to developed corneal infection and to penetrate deeper corneal tissue. The global
change in fungal infections has emphasised the need to develop better diagnostic
mycology laboratories and to recognise the group of potential fungal pathogens.
KEYWORDS
antifungal susceptibility, deep fungal infection, keratomycosis, minimum inhibitory
concentration, murine model, new species