Publications by authors named "Keyvan Pakshir"

Candida onychomycosis is a common fungal nail infection where treatment efficacy can be compromised by antifungal resistance. This study investigates the role of efflux pump genes (CDR1, CDR2, and MDR1) and biofilm-associated genes (ALS1, ALS3) in Candida albicans isolates classified as resistant to itraconazole from patients with onychomycosis. Ten itraconazole-resistant and 10 sensitive isolates were collected for efflux pump and biofilm-associated gene expression analysis by Real-Time PCR methods.

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This is a rare case of Candida onychomycosis caused by three Candida species that were resistant to several antifungal drugs. A 56-year-old Iranian woman with no previous medical or injury history experienced discoloration and lifting of her left thumbnail for six months. Laboratory tests identified yeast and pseudohyphae consistent with Candida onychomycosis.

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Background And Purpose: Onychomycosis is a common fungal infection that affects the nails, caused by various fungal agents. Moreover, yeast onychomycosis has increased in recent years. Yeast isolates might not be identified at the species level by conventional methods, whereas molecular methods can identify yeast isolates more accurately.

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Background And Purpose: Plants are crucial habitats for fungus communities as they provide an appropriate physical environment for the growth and reproduction of the yeast microbiome. Varieties of pathogenic and non-pathogenic yeast could be found in trees. Although species are the most common pathogenic yeasts associated with trees, other yeasts also grow on trees and are critical to human health.

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Researchers have repurposed several existing anti-inflammatory drugs as potential antifungal agents in recent years. So, this study aimed to investigate the effects of anti-inflammatory drugs on the growth, biofilm formation, and expression of genes related to morphogenesis and pathogenesis in Candida albicans. The minimum inhibitory concentration (MIC) of anti-inflammatory drugs was assessed using the broth microdilution method.

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Fungal infections are serious complications after solid organ transplantation, with high mortality and morbidity. Given the importance of the local epidemiological data and also extensive prophylactic regimens in solid organ transplant (SOT) recipients, this study aimed to investigate the clinical characteristics and resistance patterns of yeast isolates in SOT recipients at a main referral transplant center in Iran. Of the 275 recipients enrolled, 22 (8%) had at least one positive yeast culture at a median of 5 days after transplantation.

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The epidemiology and resistance patterns of Candida infections in pediatric kidney/liver recipients has not been well characterized, recently. In this study, all patients ≤ 18 years old who underwent liver/kidney transplant surgery between September 2021 and 2022 were included. Species identification of isolates recovered from clinical specimens was performed by DNA-sequencing method following amplification of the ITS1-5.

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Background And Purpose: The three most common causes of vaginitis are bacteria, yeast, and Protozoa. is one of the most common causes of vaginitis and commonly affects millions of females with different signs and symptoms. Secretion of exoenzymes from species plays an important role in virulence and pathogenesis.

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Article Synopsis
  • The study highlights a shift in Candida infections from predominantly Candida albicans to a rise in non-albicans species, particularly Candida kefyr, which shows reduced antifungal susceptibility.
  • Researchers analyzed 66 isolates of C. kefyr for enzymatic activity and biofilm formation, using various testing methods to evaluate proteinase, phospholipase, haemolysin, esterase, and caseinase activities.
  • Results showed high levels of biofilm (81.8%) and proteinase (93.9%) activities, with significant variations in enzymatic profiles between clinical and non-clinical isolates, emphasizing the need for reevaluating treatment strategies for C. kefyr infections.
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Background And Purpose: species are opportunistic fungal pathogens that cause mild to life-threatening infections in both immunocompetent and immunocompromised populations. The increasing prevalence of drug-resistant species has posed a significant challenge to the management of infections in clinical settings. Therefore, this study aimed to investigate the direct antifungal and antibiofilm effect of vitamin D against species.

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  • This study focuses on detecting the Y132F mutation in a multidrug-resistant yeast that poses a pandemic threat due to its rapid spread and azole resistance.
  • Five isolates from Iran and three control isolates were tested to analyze antifungal susceptibility and develop a high-resolution melt (HRM) assay for mutation detection.
  • The HRM method successfully identified the Y132F mutation in one resistant isolate, demonstrating a quick and effective approach to monitor azole resistance in this yeast.
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Washing machines are commonly used in households and are considered indispensable appliances for maintaining cleanliness and hygiene. Environmental conditions within household washing machines are ideal for fungal colonization, which may pose risks to human health and contribute to sick building syndrome. This study aimed to investigate the fungal species contamination in the building washing machines.

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Article Synopsis
  • The study investigates the prevalence and characteristics of Candida albicans genotypes in blood and vaginal isolates, finding genotype A prevalent in blood and genotype C in vaginal samples.
  • The research utilizes techniques like ABC typing and media types (Spider and YPDA) to analyze genotype distribution and phenotype characteristics.
  • Results indicated a significant relationship between genotype and phenotype in blood samples on YPDA medium, highlighting the complexity of C. albicans variations in clinical contexts.
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Background: Fungal species are responsible for 40%-50% of all microbial keratitis cases. Due to the low amount of extracted DNA in ocular Formalin-fixed Paraffin-embedded (FFPE) samples, selecting a reliable molecular method is a substantial issue in this field.

Methods: Sixty-six samples were collected via the penetrating keratoplasty (PK) technique.

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Amphotericin B has long been regarded as the gold standard for treating invasive fungal infections despite its toxic potential. The main objective of this research was to develop a novel IONPs@CS-AmB formulation in a cost-effective manner in order to enhance AmB delivery performance, with lowering the drug's dose and adverse effects. The chitosan-coated iron oxide nanoparticles (IONPs@CS) were synthesized afterward, AmB-loaded IONPs@CS (IONPs@CS-AmB) prepared and characterized by AFM, FT-IR, SEM, EDX, and XRD.

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A 49-year-old male was involved in an accident and an abdominal computer tomographic examination revealed papillary renal cell carcinoma of the right kidney. During hospitalization, the patient was infected with COVID-19. In the following COVID-19 treatment, a black dot developed on the right side of the head and face.

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Background: Due to the increasing prevalence of candidiasis, early detection of the causative agents may pave the way for the management of this infection. The present study aimed to assess the discriminative power of the six isoenzymatic systems for differentiating the species.

Materials And Methods: Sixteen standard and strains and 30 fluconazole-sensitive and fluconazole-resistant clinical strains of were analyzed using a Multilocus Enzyme Electrophoresis (MLEE) method, including six enzymatic systems consisting of malate dehydrogenase (MDH), phosphoglucomutase (PGM), glucose-phosphate isomerase (GPI), glucose-6-phosphate dehydrogenase (G6PDH), 6-phosphogluconate dehydrogenase (6PGD), and malic enzyme (ME).

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Article Synopsis
  • Iranian aromatic waters, especially Ziziphora multiflora (ZM), have long been used as non-alcoholic drinks with medicinal benefits, prompting a study on their chemical makeup and antifungal effects.
  • Chemical analysis of ZM's aromatic water revealed high levels of Carvacrol and Thymol, which showed significant antimicrobial activity against fungal species and inhibited biofilm formation.
  • The findings suggest that ZM aromatic water could be a promising natural treatment for conditions like gastrointestinal candidiasis due to its antifungal and antioxidant properties.
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Background And Purpose: Given the important role of spp. in skin diseases and other associated infections in neonates, this study aimed to investigate the presence and frequency of spp. in the skin of neonates hospitalized in neonatal intensive care units and their mothers using culture and accurate molecular-based methods.

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  • The GBD 2019 study systematically estimated the global cancer burden, providing data on incidence, mortality, and disability to help address cancer worldwide.
  • In 2019, an estimated 23.6 million new cancer cases and 10 million cancer deaths occurred globally, marking significant increases in rates since 2010, with cancer becoming a leading cause of both death and disability-adjusted life years (DALYs).
  • The impact of cancer varied across sociodemographic index (SDI) quintiles, with higher SDI areas seeing more new cases, while middle SDI areas experienced more deaths and DALYs, highlighting disparities in cancer burden.
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Onychomycosis is a fungal disease that caused by different types of fungi. Non-dermatophyte molds are a large saprophytic fungi group that live in nature and could affect traumatic nails. The aim of this study was to identify non-dermatophyte molds causing onychomycosis and evaluation of several antifungal activities against the isolates.

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Background: Mycotoxins are secondary fungal metabolites that are produced by some toxigenic fungi on foodstuffs which are poisoning and potentiate for human's health hazards. In coffee samples, ochratoxin A and fungal contamination were examined.

Methods: Immunoaffinity columns were used for treating of all 50 samples from four types of coffee, after that high-performance liquid chromatography was used for determining the amount of ochratoxin.

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Background: Transport-related injuries (TIs) are a substantial public health concern for all regions of the world. The present study quantified the burden of TIs and deaths in the Eastern Mediterranean region (EMR) in 2017 by sex and age.

Methods: TIs and deaths were estimated by age, sex, country, and year using Cause of Death Ensemble modelling (CODEm) and DisMod-MR 2.

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Introduction: In the recent decade, the increased immunocompromised population such as diabetic patients makes a high incidence of invasive infections. Diabetes mellitus is the most common endocrine metabolic disorder, and diabetic patients are more susceptible to oral candidiasis infection. Candidiasis is an opportunistic fungal infection caused by many species of .

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Article Synopsis
  • Superficial and cutaneous fungal infections are prevalent in tropical regions, prompting a study to gather data on these infections and their causes among patients in Shiraz, Iran.
  • Over a four-year period, 1807 patients were evaluated, leading to 750 confirmed cases of mycoses, with the majority affecting nails and skin.
  • The findings revealed that Candida species were the most common yeast, while dermatophytosis cases were primarily tinea unguium and tinea capitis, providing insights into the epidemiology of these fungal infections.
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