Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-28T00:46:35.387Z Has data issue: false hasContentIssue false

Malassezia furfur Infections

Published online by Cambridge University Press:  21 June 2016

Osvaldo Teglia
Affiliation:
Infectious Disease Division and the Department of Pathology, Winthrop-University Hospital, Mineola, and the SUNY School of Medicine, Stony Brook, New York
Paul E. Schoch
Affiliation:
Infectious Disease Division and the Department of Pathology, Winthrop-University Hospital, Mineola, and the SUNY School of Medicine, Stony Brook, New York
Burke A. Cunha*
Affiliation:
Infectious Disease Division and the Department of Pathology, Winthrop-University Hospital, Mineola, and the SUNY School of Medicine, Stony Brook, New York
*
Infectious Disease Division, Winthrop-University Hospital, Mineola, NY 11.501.

Extract

Malassezia furfur, previously known as Pityrosporum obiculare, is a lipophilic saprophytic yeast that preferentially colonizes the skin of the scalp, chest, and back. Three clinical syndromes have been associated with M furfur infections: intravenous line sepsis associated with lipid infusions; folliculitis, most often in patients with acquired immunodeficiency syndrome (AIDS) and less commonly in steroid-treated patients with diabetes mellitus; and tinea versicolor, a superficial dermatosis seen in healthy young adults. Most cases of M furfur seen in the hospital are AIDS patients with folliculitis and intravenous line sepsis in neonates receiving lipid emulsions.

The genus Malassezia consists of two saprophytic yeast-like organisms: M furfur and Malassezia pachydermatitis. M furfur, predominantly a yeast, is a fastidiously lipophylic member of the normal skin flora in 90% of humans. It is present as filamentous structures in the skin where the organism is associated with tinea versicolor and folliculitis. M pachydermatitis is a yeast most often associated with dogs, where it has been reported to cause otitis externa. Recent reports have implicated this organism in human infections as well.

Type
Topics in Clinical Microbiology
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Faergmann, J, Frederiksson, ‘I Age, incidence of Pityrosporum orbiculare on human skin. Acta Derm Venereol. 1980;60:531533.Google Scholar
2. Faergmann, J, Fredericksson, T. Tinea versicolor: some new aspects on etiology, pathogenesis and treatment. Int J Dermatol. 1981;21:811.CrossRefGoogle Scholar
3. Abou-Gabal, M, Chastain, CB, Hogle, RM. Pityrosporum (pachydermitis) canis as a major cause of otitis extema in dogs. Mykosen. 1979;22:192199.10.1111/j.1439-0507.1979.tb01741.xCrossRefGoogle Scholar
4. Porro, NM, Passi, S, Caprilli, F, et al. Growth requirements and lipid metabolism of Pityrosporum orbiculare . J Invest Dermatol. 1976;66:178182.CrossRefGoogle ScholarPubMed
5. Redline, RW, Dahms, BB. Malassezia pulmonary vasculitis in an infant on long-term intralipid therapy. N Engl J Med. 1981;305:1395.10.1056/NEJM198112033052307CrossRefGoogle Scholar
6. Marcon, MJ, Powell, DA. Malassizia furfur . Clin Microbiol Newsl. 1988;10:4145.CrossRefGoogle Scholar
7. Powell, DA, Hayes, J, Durrell, DE, et al. Malassezia furfur skin colonization of infants hospitalized in intensive care units. J Pediatr. 1987;111:217220.CrossRefGoogle ScholarPubMed
8. Marcon, MJ, Powell, DA. Epidemiology, diagnosis, and management of M furfur systemic infection. Diagn Microbial Infect Dis. 1987;10:161175.10.1016/0732-8893(87)90001-0CrossRefGoogle Scholar
9. Roberts, W. Pityrosporum orbiculare: incidence and distribution on clinically normal skin. Br J Dermatol. 1969;81:264.10.1111/j.1365-2133.1969.tb13978.xCrossRefGoogle ScholarPubMed
10. Bell, LM, Alpert, G, Slight, PH, et al. Skin colonization of hospitalized and nonhospitalized infants with lipophilic yeast. Presented at the 25th Interscience Conference on Antimicrobial Agents and Chemotherapy. September 29-October 2. 1985. Minneapolis, Minn. Abstract#519.Google Scholar
11. Dankner, WM, Spector, SA, Fierer, J, et al. Malassezia fungemia in neonates and adults: complication of hyperalimentation. Rev Infect Dis. 1987;9:743753.CrossRefGoogle ScholarPubMed
12. Shek, YH, Tucker, MC, Viciana, AI, et al. Malassezia furfur disseminated infection in premature infants. AJCP. 1989;92:595603.Google ScholarPubMed
13. Weiss, SJ, Schoch, PE, Cunha, BA. Malassezia furfur fungemia associated with central venous catheter lipid emulsion infusion. Heart Lung. 1991;20:8790.Google ScholarPubMed
14. Alpert, G, Bell, LM, Campos, JM. Mulassezia furfur fungemia in infancy. Clin Pediatr. 1987;26:528531.CrossRefGoogle ScholarPubMed
15. Redline, RW, Redline, SS, Boxerbaum, B, et al. Systemic Malassezia furfur infections in patients receiving intralipid therapy. Hum Pathol. 1985;16:815822.CrossRefGoogle ScholarPubMed
16. Aschner, JL, Amado, P Jr Maniscalco, WM, et al. Percutaneous central venous catheter colonization with Malassezia furfur incidence and clinical significance. Pediatrics. 1987;80:535539.10.1542/peds.80.4.535CrossRefGoogle ScholarPubMed
17. Finaris, J, Sitges-Serra, A, Garav, J, et al. Pathogenesis of catheter sepsis: a prospective study with quantitative and semi-quantitative cultures of catheter hub and segments. J Clin Microbiol. 1985;21:357.Google Scholar
18. Powell, DA, Marcon, MJ, Durrell, DE, et al. Scanning electron microscopy of Malassezia furfur attachment to broviac catheters. Hum Pathol. 1987;18:740745.CrossRefGoogle ScholarPubMed
19. Redline, RW, Barrett Dahms, B. Malassezia pulmonary vasculitis in an infant on long-term intralipid therapy. N Engl J Med. 1981;305:13951398.CrossRefGoogle Scholar
20. Brown, L, Brooks, R. Systemic infection with Malassezia furfur in an adult receiving long-term hyperalimentation therapy. J Infect Dis. 1987;156:410411.Google Scholar
21. Klotz, SA. Malassezia furfur . Infect Dis Clin North Am. 1989;3:5365.CrossRefGoogle ScholarPubMed
22. Temple, SJ, Longfellow, DR. Malassezia furfur fungemia. Microbiology. 1990;33:114.Google Scholar
23. Long, JG, Keyserling, HL. Catheter-related infection in infants due to an unusual lipophilic yeast—Malassezia furfur . Pediatrics. 1985;76:896900.CrossRefGoogle Scholar
24. Klotz, SA, Drutz, DJ, Huppert, M, et al. Pityrosporum folliculitis. Its potential for confusion with skin lesions of systemic candidiasis. Arch Intern Med. 1982;142:21262129.CrossRefGoogle ScholarPubMed
25. Poller, BS, Burgeon, CF Jr Johnson, WC. Pityrosporum folliculitis . Arch Dermatol. 1973;107:388391.Google Scholar
26. DuPont, B. Drouhet, E. Cutaneous, ocular, and osteoarticular candidiasis in heroin addicts: new clinical and therapeutic aspects in 38 patients. J Infect Dis. 1985;152:577591.CrossRefGoogle ScholarPubMed
27. Richet, HM, McNeil, MM, Edwards, MC, et al. Cluster of Malassezia furfur pulmonary infections in infants in a neonatal intensive care unit. J Clin Microbiol. 1989;27:11971200.10.1128/jcm.27.6.1197-1200.1989CrossRefGoogle Scholar
28. Hensey, OJ, Cooke, RWT. Systemic candidiasis. Arch Dis Child. 1982;57:962.CrossRefGoogle ScholarPubMed
29. Tudehope, DI, Rigby, B. Neonatal systemic candidiasis treated with miconazole and ketoconazole. Med J Aust. 1983;1:480481.10.5694/j.1326-5377.1983.tb136172.xCrossRefGoogle ScholarPubMed
30. Marcon, W, Durrell, DE, Powell, DA, et al. In vitro activity of systemic antifungal agents against Malassezia, furfur . Antimicrob Agents Chemother. 1987;31:951953.CrossRefGoogle ScholarPubMed