Publications by authors named "Lisa Shubitz"

Valley Fever (VF), caused by fungi in the genus , is a prevalent disease in southwestern and western parts of the United States that affects both humans and animals, such as dogs. Although the immune responses to infection with spp. are not fully characterized, antibody-detection assays are used in conjunction with clinical presentation and radiologic findings to aid in the diagnosis of VF.

View Article and Find Full Text PDF

Coccidioidomycosis is an important fungal disease that is found in many desert regions of the western hemisphere. The inhaled organisms are highly pathogenic, but only half of infected, immunologically intact people develop symptomatic pneumonia; most symptomatic infections resolve spontaneously, although some resolve very slowly. Furthermore, second infections are very rare and natural immunity after infection is robust.

View Article and Find Full Text PDF

Clinical Relevance: In contrast to superficial fungal infections, such as dermatophytosis, invasive fungal infections (IFIs) are characterised by penetration of tissues by fungal elements. Disease can spread locally within a region or can disseminate haematogenously or via the lymphatics. The environment is the most common reservoir of infection.

View Article and Find Full Text PDF
Article Synopsis
  • Invasive fungal infections (IFIs) and fungal-like infections (IFLIs) are challenging to treat due to long treatment times, the potential for relapse, and variable antifungal drug effectiveness.
  • The article aims to review the activity, mechanisms, and side effects of antifungal drugs, while discussing the treatment and prognosis for specific infections such as cryptococcosis and mucormycosis.
  • Information is primarily based on pharmacokinetic studies in cats, along with data from preclinical and human studies, combining insights from various veterinary specialties.
View Article and Find Full Text PDF

Coccidioidomycosis, caused by the dimorphic pathogens Coccidioides posadasii and C. immitis, is a fungal disease endemic to the southwestern United States, Mexico, and some regions of Central and South America. The mouse is the primary model for studying pathology and immunology of disease.

View Article and Find Full Text PDF

The early innate immune response to coccidioidomycosis has proven to be pivotal in directing the adaptive immune response and disease outcome in mice and humans but is unexplored in dogs. The objectives of this study were to evaluate the innate immune profile of dogs with coccidioidomycosis and determine if differences exist based on the extent of infection (i.e.

View Article and Find Full Text PDF

Background: Clinicopathologic variables predictive of disseminated coccidioidomycosis are known in humans but have not been explored in dogs. Serum 25-hydroxyvitamin (OH)D correlates with severity of disease of various etiologies in dogs but its role in coccidioidomycosis is unknown.

Objective: Determine whether serum 25(OH)D concentrations are different in dogs with coccidioidomycosis compared with healthy controls and if clinicopathologic variables are associated with extent of disease.

View Article and Find Full Text PDF

The majority of human coccidioidomycosis infections are asymptomatic or self-limited but may have sequestered spherules in highly structured granulomas. Under immunosuppression, reactivation of fungal growth can result in severe disease. B6D2F1 mice asymptomatically infected with C.

View Article and Find Full Text PDF
Article Synopsis
  • Disseminated coccidioidomycosis (DCM) is a serious illness caused by Coccidioides fungi, primarily affecting individuals in the southwestern U.S. and Mexico, with only 30% of infected individuals showing symptoms and less than 1% developing DCM.
  • Through whole-exome sequencing of 67 DCM patients, researchers identified genetic mutations, including haploinsufficient STAT3 and defects in β-glucan sensing and response, in a significant number of cases, influencing disease dissemination.
  • A validation study with an additional 111 patients confirmed specific variants in genes like CLEC7A and PLCG2 that linked to weakened immune responses, indicating that impaired recognition of the fungi and lowered cytok
View Article and Find Full Text PDF

and are closely related fungal species that cause coccidioidomycosis. These dimorphic organisms cause disease in immunocompetent as well as immunocompromised individuals and as much as 40% of the population is infected in the endemic area. Although most infections resolve spontaneously, the infection can be prolonged and, in some instances, fatal.

View Article and Find Full Text PDF

Coccidioidomycosis is an endemic fungal infection that is reported in up to 20,000 persons per year and has an economic impact close to $1.5 billion. Natural infection virtually always confers protection from future exposure, and this suggests that a preventative vaccine strategy is likely to succeed.

View Article and Find Full Text PDF

Coccidioides spp. are mammalian fungal pathogens endemic to the Southwestern US and other desert regions of Mexico, Central and South America, with the bulk of US infections occurring in California and Arizona. In the soil, Coccidioides grows in a hyphal form that differentiates into 3-5 micron asexual spores (arthroconidia).

View Article and Find Full Text PDF

Tumor necrosis factor alpha (TNFα) is a pluripotent cytokine that is important in many infections, though its role in infection remains poorly understood. The need to understand TNFα in infection has increased recently with the widespread use of TNFα inhibitors for a wide variety of autoimmune conditions. Here, we couple the newly developed infection model using strain Cp1038 and C57BL/6 × DBA/2J F1 (B6D2F1) mice.

View Article and Find Full Text PDF

STAT4 plays a critical role in the generation of both innate and adaptive immune responses. In the absence of STAT4, Th1 responses, critical for resistance to fungal disease, do not occur. Infection with the dimorphic fungus, , is a major cause of community-acquired pneumonia in the endemic regions of Arizona and California.

View Article and Find Full Text PDF

Disseminated coccidioidomycosis (DCM), often a severe and refractory disease leading to poor outcomes, is a risk for people with certain primary immunodeficiencies (PID). Several DCM-associated PID (STAT4, STAT3, IFNγ, and Dectin-1) are modeled in mice. To determine if vaccination could provide these mice protection, mice with mutations in , , , (Dectin-1), and Rag-1 (T- and B-cell deficient) knockout (KO) mice were vaccinated with the live, avirulent, Δ vaccine strain and subsequently challenged intranasally with pathogenic Silveira strain.

View Article and Find Full Text PDF

Objective: To evaluate the utility of enzyme immunoassays (EIAs) for the detection of Coccidioides antigen and antibody in CSF in the diagnosis of CNS coccidioidomycosis in dogs.

Animals: 51 dogs evaluated for CNS disease in a single specialty center in Tucson in 2016.

Procedures: Excess CSF after routine analysis was banked after collection from dogs presented to the neurology service.

View Article and Find Full Text PDF
Article Synopsis
  • * The live avirulent vaccine candidate, Δcps1, showed good tolerability and effectiveness in preventing lung infections in dogs when tested, with minimal side effects.
  • * Dogs receiving both primary and booster vaccinations experienced significantly lower fungal levels and disease severity compared to those that were unvaccinated, suggesting the Δcps1 vaccine could lead to future approvals for both veterinary and human use.
View Article and Find Full Text PDF

Background: The majority of dogs with coccidioidomycosis recover with administration of fluconazole or itraconazole, although some cases are refractory or the dogs do not tolerate administration of these medications.

Objectives: The objective was to describe the treatment outcomes and therapeutic monitoring of 8 dogs with refractory coccidioidomycosis treated with posaconazole.

Animals: Eight dogs with refractory coccidioidomycosis.

View Article and Find Full Text PDF

Coccidioidomycosis is a fungal disease endemic to the southwestern United States, Mexico, and Central and South America. Prevalence rates are increasing steadily, and new endemic areas of Coccidioides are emerging. Standard treatment is often administered for months to decades, and intolerance to medications and treatment failures are common.

View Article and Find Full Text PDF

Alpacas residing in the region endemic for Coccidioides spp. are susceptible to serious, disseminated coccidioidomycosis that may result in death. There is currently no oral antifungal dose recommendation for this species.

View Article and Find Full Text PDF

Murine infections with most Coccidioides spp. strains are lethal by 3 weeks, limiting the study of immune responses. Coccidioides posadasii, strain 1038 (Cp1038), while slowly lethal, resulted in protracted survival of C57BL/6 (B6) mice.

View Article and Find Full Text PDF

A 5-year-old male, neutered mixed breed dog with a history of a mass with an associated draining tract on the ventral cervical region was diagnosed with an esophageal fistula. The dog exhibited serosanguinous discharge from the draining tract, with enlarged left superficial cervical and mandibular lymph nodes, and was reported to have difficulty with deglutition of solid foods. Computed tomography revealed a communication of the draining tract with the esophagus along with enlargement of the left lateral retropharyngeal, left medial retropharyngeal, and mandibular lymph nodes.

View Article and Find Full Text PDF

Since its description nearly 130 years ago, hundreds of studies have deepened our understanding of coccidioidomycosis, also known as valley fever (VF), and provided useful diagnostic tests and treatments for the disease caused by the dimorphic fungi spp. In general, most of the literature has addressed well-established infections and has described patients who have experienced major complications. In contrast, little attention has been given to the earliest consequences of the pathogen-host interaction and its implications for disease manifestation, progression, and resolution.

View Article and Find Full Text PDF

Lung cancer diagnosis via imaging may be confounded by the presence of indolent infectious nodules in imaging studies. This issue is pervasive in the southwestern US where coccidioidomycosis (Valley Fever) is endemic. AcidoCEST MRI is a noninvasive imaging method that quantifies the extracellular pH (pHe) of tissues in vivo, allowing tumor acidosis to be used as a diagnostic biomarker.

View Article and Find Full Text PDF

Coccidioidomycosis in dogs can range from mild respiratory disease or vague, chronic malaise to acute, severe life-threatening illness. The diagnosis of coccidioidomycosis in dogs is based on clinical presentation and serology. Spherule identification is not typical because of low numbers of organisms in specimens, and the invasive nature of sampling tissues and lungs.

View Article and Find Full Text PDF