Publications by authors named "Mojtaba Taghizadeh-Armaki"

Purpose: The incidence of Mucormycosis has increased during the last decades globally due to more patients being at risk for these life-threatening infections. Early diagnosis and proper selection of appropriate antifungal therapy are vital in enhancing patient outcomes. Mucorales species present a significant challenge due to their resistance to many drugs, so investigations for new therapies and strategies must be undertaken.

View Article and Find Full Text PDF
Article Synopsis
  • The COVID-19 pandemic may contribute to delays in diagnosing serious illnesses like oral squamous cell carcinoma and worsen the management of patients with pre-existing health issues and oral lesions, including oral candidiasis, a common COVID-19 symptom.
  • An 83-year-old female patient diagnosed with oral carcinoma developed oropharyngeal candidiasis after recovering from COVID-19 pneumonia, experiencing painful symptoms like difficulty swallowing and speaking.
  • The study highlights a high risk of fungal infections in severe COVID-19 cases affecting the oral mucosa, though it's unclear if these infections are directly related to COVID-19 itself or other factors.
View Article and Find Full Text PDF

Background And Purpose: Antifungal resistance in presents a notable obstacle in the management of vulvovaginitis. Comprehension of drug-resistance gene expression is fundamental in the development of efficacious treatment strategies. This systematic review endeavored to ascertain the existing knowledge regarding the expression of drug resistance genes in associated with vulvovaginal candidiasis by the amalgamation of published research findings.

View Article and Find Full Text PDF
Article Synopsis
  • * The study examined 6322 strains from 19,967 patients using six major electronic databases and found antifungal resistance levels ranging from 0% to 26%.
  • * The findings suggest very low resistance to certain azoles, indicating a need for responsible drug prescribing and ongoing monitoring due to the rise of multi-drug resistant strains.
View Article and Find Full Text PDF
Article Synopsis
  • Invasive mucormycosis is a serious fungal infection that often occurs in diabetic patients, especially those with COVID-19 due to treatment with corticosteroids, leading to higher risks of mortality.
  • A case study in Iran involved a 73-year-old diabetic woman with COVID-19 who developed rhino-orbital mucormycosis after receiving treatment for her lung issues.
  • Histopathology confirmed the presence of the infection, and with timely antifungal treatment, the patient responded well, marking this as the first documented case in Iran related to COVID-19.
View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to investigate the molecular causes of carbapenem resistance in urinary tract infections caused by UPEC and to assess trends in antimicrobial resistance and biofilm production.* -
  • A total of 76 UPEC isolates from patients were tested, showing significant antibiotic resistance, especially to nalidixic acid (81.6%) and trimethoprim-sulfamethoxazole (80.3%), with over half (55.3%) displaying biofilm formation.* -
  • The findings indicated a high prevalence of multidrug-resistant (MDR) and carbapenemase-producing isolates, with notable genetic diversity among the isolates, raising concerns about treatment options for these infections.*
View Article and Find Full Text PDF
Article Synopsis
  • A multidrug-resistant pathogen has become a global issue, particularly in healthcare settings, and whole genome sequencing (WGS) has revealed four major genetic clades.
  • Recent findings confirm a potential fifth clade from Iran based on WGS data from four more isolates, showing minimal genetic variation among them (less than 100 SNPs).
  • This fifth clade is significantly distinct from the other clades, with over 200,000 SNPs separating them, and two of the isolates demonstrate fluconazole resistance due to specific gene mutations.
View Article and Find Full Text PDF
Article Synopsis
  • The study updates the epidemiology and antifungal susceptibility of tinea capitis (TC) in Iran, analyzing data over one year from six national mycology centers.
  • Out of 2100 clinical samples, 94 cases of TC were identified, predominantly affecting children, with a higher prevalence in males aged 5-9 years.
  • Terbinafine showed the most effectiveness among antifungals tested, while some isolates displayed resistance to fluconazole and griseofulvin, with genetic analysis revealing specific mutations linked to terbinafine resistance.
View Article and Find Full Text PDF

Background: Staphylococcus aureus is often considered as a potential pathogen and resistant to a wide range of antibiotics. The pathogenicity of this bacterium is due to the presence of multiple virulence factors and the ability to form biofilm. SCCmec types I, II and III are mainly attributed to HA-MRSA, while SCCmec types IV and V have usually been reported in CA-MRSA infections.

View Article and Find Full Text PDF
Article Synopsis
  • A new pathogenic yeast has gained attention for its rapid spread and resistance to multiple drugs, often causing hospital outbreaks and being misidentified by traditional methods.
  • The report details the first case of fluconazole-resistant otitis in an immunocompetent patient in Iran, showing a high resistance level to the drug yet successfully treated with alternative medications.
  • This case marks the second instance of a fluconazole-resistant yeast strain found in otitis in Iran, differing from the earlier strain identified.
View Article and Find Full Text PDF

Fungal otitis externa, an infection of the external auditory canal caused by molds and yeasts, accounts for approximately 10-20% of ear canal infections accompanying high recurrence. The purpose of the current study was to assess the pattern of etiological agents of otomycosis and resistance profile as well as the rate of tympanic membrane perforation. A total of 1040 patients with symptoms of fungal otitis externa, in a period of two years, were investigated.

View Article and Find Full Text PDF

Trichophyton benhamiae is a zoophilic dermatophyte mainly transmitted to humans from guinea pigs. This zoophilic species can also cause dermatophytosis as reported by human contact with other animals, such as rabbit, cat, and fox. Here, we report the tinea faciei and tinea corporis cases: a 12-year-old girl and her 53-year-old father, with no history of immunodeficiency and underlying disease, caused by T.

View Article and Find Full Text PDF
Article Synopsis
  • Trichophyton benhamiae is a dermatophyte causing skin infections and this study aimed to analyze its genotypes and antifungal susceptibility across different areas in Iran.
  • Twenty-two strains of T. benhamiae and two strains of T. eriotrephon were examined for genetic differences and their resistance to seven antifungal medications.
  • Results showed high genetic similarity among T. benhamiae strains, with terbinafine, posaconazole, and itraconazole being the most effective antifungals against them.
View Article and Find Full Text PDF

Disseminated phaeohyphomycosis is a rare and unusual infection that can be caused by dematiaceous fungi. Cyphellophora is an uncommon aetiological agent of cutaneous and systemic fungal infections. This study describes a case of disseminated phaeohyphomycosis caused by C.

View Article and Find Full Text PDF
Article Synopsis
  • * A study involving 161 patients identified that the highest incidence is among women aged 40-49, particularly urban housewives, with symptoms like itching and hearing loss.
  • * Only 3.1% of patients experienced relapse, mainly in women and those with ear manipulation or ulcers, suggesting clotrimazole is a cost-effective option for managing otomycosis.
View Article and Find Full Text PDF

Background: Aspergillus flavus is a major cause of severe non-invasive fungal infections in the Middle Eastern countries. However, it is difficult to distinguish A flavus from A oryzae.

Objectives: To assess the potential of matrix-assisted laser desorption/ionisation time-of-flight mass spectrometry (MALDI-TOF MS) in discriminating between A flavus and A oryzae and compare it with β-tubulin gene sequencing.

View Article and Find Full Text PDF

Background And Purpose: Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) is widely used to discriminate among pathogenic microorganisms in clinical laboratories. The aim of this study was to assess the utility of MALDI-TOF MS in the routine identification of clinical dermatophyte isolates obtained from various geographical regions of Iran.

Materials And Methods: A total of 94 isolates, including (n=44), (n=40), (n=4), (n=4), and (=1), were analyzed in this study.

View Article and Find Full Text PDF

Background: Otitis externa is the fungal and bacterial infection of the outer ear.

Aim: We aimed to investigate the published papers about the outer ear infections in Iran and suggest standardised investigations and treatments.

Methods: We used different electronic databases like PubMed, Scopus, Web of Science, Iranmedex, Google Scholar, and Magiran with specific keywords.

View Article and Find Full Text PDF

Candida auris is a multidrug-resistant yeast emerging in immunocompromised and in otherwise healthy individuals. Due to difficulties in microbiological identification of C. auris because of the lack of available laboratory technology in developing countries, the number of patients affected is most likely underestimated.

View Article and Find Full Text PDF

Introduction: The number of fungal infections occurring each year in Iran is not known. As the burden of fungal disease is a measure used to assess and compare the relative impact of different type of fungal diseases on populations, we have estimated the burden of fungal diseases in Iran.

Methodology: We estimated the burden of human fungal diseases based on the specific populations at risk, existing epidemiological data in both local and international databases, and modelling previously described by the LIFE program (http://www.

View Article and Find Full Text PDF

Introduction: The incidence of Aspergillus infections has recently increased remarkably in certain tropical and sub-tropical countries, with Aspergillus flavus being identified as the leading cause of infections after A. fumigatus. Lanoconazole (LAN) and luliconazole (LUL) are currently approved for topical treatment of cutaneous fungal infections.

View Article and Find Full Text PDF

Background And Purpose: There are controversial findings regarding the efficacy of antifungal drugs in the treatment of a ruptured eardrum following fungal infections. Regarding this, the aim of the present study was to evaluate the therapeutic effect of the co-administration of antifungal and antibacterial agents in the treatment of otomycosis with tympanic membrane perforation.

Materials And Methods: This analytical, clinical trial was conducted on 87 patients with otomycosis showing no bacterial elements in the direct observation and culture.

View Article and Find Full Text PDF

Introduction: This study aims to evaluate the antifungal susceptibility of different species of Candida isolated from diabetic patients against eight antifungal agents.

Methods: Susceptibility testing of 111 clinical isolates of Candida species was performed against 8 antifungals using the M27-A3 protocol of the Clinical and Laboratory Standards Institute (CLSI).

Results: Voriconazole, lanoconazole, and caspofungin showed the highest in vitro activity against all the isolates of C.

View Article and Find Full Text PDF

Background: -associated denture stomatitis (CADS) is a common fungal infection in people who wear dentures. The main objective of this study was to make molecular identification of causative agents of CADS and in vitro antifungal susceptibility testing (AFST) in the Iranian patients with denture stomatitis.

Methods: A total of 134 spp.

View Article and Find Full Text PDF
Article Synopsis
  • The study focused on using the Platelia Aspergillus GM enzyme immunoassay to measure galactomannan (GM) levels in bronchoalveolar lavage fluid to diagnose invasive aspergillosis (IA) caused by Aspergillus flavus and Aspergillus fumigatus.
  • During a study from 2009 to 2015, 116 BAL samples were analyzed, identifying 35 IA patients, with most showing positive GM indices above 0.5, and confirming that A. flavus and A. fumigatus were present in cultures.
  • The results indicated that while the mean GM index was higher for A. fumigatus, lower sensitivity was observed for A. flavus, suggesting that hospitals need
View Article and Find Full Text PDF