Syncephalastrum: Introduction, Pathogenicity, Lab Diagnosis and Treatment

Syncephalastrum

Syncephalastrum Taxonomic classification

  • Kingdom: Fungi
  • Phylum: Zygomycota
  • Class: Zygomycetes
  • Order: Mucorales
  • Family: Syncephalastraceae
  • Genus: Syncephalastrum
  • Species:  racemosum

 Habitats

The fungus Syncephalastrum (genus)  is available mainly from soil and dung in tropical and subtropical regions. It can also be a difficult laboratory contaminant.

Macroscopic Features of Syncephalastrum

  • Colonies are very fast-growing, cottony to fluffy, white to light grey, becoming dark grey with the development of sporangia.
  • Microscopic Features of Syncephalastrum
  • Broad (4-8 µm in diameter), non-septate or sparsely septate hyphae, sporangiophores, merosporangia , sporangiospores (merospores), and rhizoids are visualized. Septation of the hyphae is mostly observed as the culture gets old. Sporangiophores are frequently branched and rather short. They end up in a vesicle (80 µm in diameter). Around this vesicle are the merosporangia (4-6 x 9-60 µm), which are filled with linear chains of sporangiospores. Each merosporangium contains a single row of 3-18 merospores. Merospores (3-7 µm, may rarely reach 10 µm in diameter) are one-celled and spherical to cylindrical in shape.  Zygospores, when produced, are black, spherical, and 50-90 µm in diameter. They have conical projections. In brief, zygomycete producing sympodially branching sporangiosphores with terminal vesicles bearing merosporangia. Under the LPCB mount, here, we can see  Syncephalastrum racemosum having features like terminal vesicles, merosporangia, and merospores as shown above picture.
  • Note: The sporangiophore and merosporangia of Syncephalastrum species may confuse for an Aspergillus species when the isolate is not looking at carefully.
  • Pathogenicity and Clinical Significance
  • Syncephalastrum is a very rare causative agent of human zygomycosis. It has so far been isolated in cases of cutaneous infection and otomycosis. It comes under risk group-2 organism.

Laboratory Diagnosis of  Syncephalastrum

Specimen

  • Skin scrapping
  • Ear discharge

Direct microscopy

  • KOH preparation

Culture

  • Growth on SDA is very fast-growing, cottony to fluffy, white to light grey, becoming dark grey with the development of sporangia.

LPCB preparation 

For observation of fungal structures from culture.

 

Treatment

Very limited data are available for treatment. Following antifungal drugs are useful and they are- Amphotericin B, ketoconazole, itraconazole, and voriconazole.

Bibliography

  1. A Textbook of Medical Mycology. Editor: Jagdish Chander. Publication Mehata, India.
  2. Medical Mycology. Editors: Emmons and Binford, 2nd ed 1970, Publisher Lea and Febiger, Philadelphia.
  3. Practical Laboratory Mycology. Editors: Koneman E.W. and G.D. Roberts, 3rd ed 1985, Publisher Williams and Wilkins, Baltimore.
  4. Description of Medical fungi,  David Ellis, Stephen Davis, Helen Alexiou, Rosemary Handke, Robyn Bartley, Second edition
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