Publications by authors named "Liyan Xi"

We presented a case of chronic mucocutaneous candidiasis (CMC) due to STAT1 GOF mutation with recurrent enteritis and intestinal obstruction. A 33-year-old woman complained of recurrent oral erosion and finger (toe) nails damage for over 30 years. Candida albicans were cultured from the oral mucosa and nails.

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  • Protothecosis, a rare subcutaneous infection caused by Prototheca wicherhamii, often goes misdiagnosed and lacks a standardized treatment; combined oral itraconazole and 5-aminolevulinic acid photodynamic therapy (ALA-PDT) has been explored for therapy.* -
  • The study examined the effects of different ALA concentrations and light doses on inhibiting P. wickerhamii growth and utilized transmission electron microscopy (TEM) to observe cellular changes, confirming ALA-PDT disrupts the cell structure of the fungus.* -
  • Treatment of a patient showed that the combined therapy was effective over a 9-week period, with ALA-PDT enhancing the effectiveness of itraconazole
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  • Cutaneous infectious granulomas (CIG) are chronic skin infections caused by various pathogens, and diagnosing them is challenging due to low sensitivity in traditional microbiological exams and overlapping histological findings.
  • The study aimed to evaluate the efficacy of metagenomic next-generation sequencing (mNGS) in detecting pathogens in CIG cases and compare its performance with conventional microbiological methods in terms of sensitivity and specificity.
  • Results showed that mNGS outperformed traditional methods with an 80.77% detection rate and 100% sensitivity, enabling faster and more comprehensive pathogen identification, which positively influenced treatment adjustments for patients.
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  • * Cases of ARD infections have been reported in China, highlighting the risk of spreading these resistant strains among humans, complicating diagnosis and treatment.
  • * Experts from various medical fields collaborated to create consensus guidelines, aiming to enhance awareness of dermatophyte drug resistance and provide practical recommendations for diagnosis, treatment, prevention, and control of ARD infections.
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Talaromycosis, caused by (, formerly known as ), is an opportunistic invasive mycosis endemic in tropical and subtropical areas of Asia with high mortality rate. Despite various infection models established to study the immunological interaction between and the host, the pathogenicity of this fungus is not yet fully understood. So far, , a well-established genetic model organism to study innate immunity, has not been used in related research on .

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  • Chromoblastomycosis (CBM) is a chronic fungal skin infection caused mainly by dematiaceous fungi in tropical and subtropical regions, leading to plaques and scarring after healing.
  • Diagnosis can be enhanced with traditional methods like microscopy and culture, along with advanced techniques like dermatoscopy and reflectance confocal microscopy.
  • A case study from Guangdong shows successful management of CBM using a combination of itraconazole, terbinafine, and imiquimod, emphasizing new treatment strategies for this difficult condition.
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  • Chromoblastomycosis (CMB) is a tough fungal skin infection with few treatment options and high relapse rates, highlighting the need for new therapies.
  • The study explored the effectiveness of a combined treatment using potassium iodide (KI) and Methylene Blue (MB) with light therapy to combat the fungus Fonsecaea monophora, both in lab experiments and in mice.
  • Results showed that KI improved the effectiveness of MB-mediated light therapy, producing more harmful agents against the fungus and suggesting this combination could be a promising therapy for CMB.
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  • - Chromoblastomycosis (CBM) is a chronic skin infection caused by certain types of fungi, leading to granuloma formation and tissue changes, which are influenced by the body’s immune response.
  • - A study analyzed immune cell activity in 20 CBM biopsies and found an influx of specific immune cells (Th2 cells and M2 macrophages) that contribute to fibrous tissue development and hinder the elimination of the fungi.
  • - The research indicates that Th2 cytokines and IL-17 play crucial roles in shaping the immune response, potentially guiding future treatments for managing this chronic infection.
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Exophiala spinifera is a rare dematiaceous fungus causing cutaneous, subcutaneous and disseminated phaeohyphomycosis (PHM). Standard antifungal therapy for PHM is still uncertain. Here, we report a case of a Chinese male with PHM caused by E.

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Background: Deep fungal infection has become an important cause of infection and death in hospitalized patients, and this has worsened with increasing antifungal drug resistance.

Objective: A 3-year retrospective study was conducted to investigate the clinical characteristics, pathogen spectrum, and drug resistance of deep fungal infection in a regional hospital of Guangzhou, China.

Methods: Non-duplicate fungi isolates recovered from blood and other sterile body fluids of in-patients of the clinical department were identified using biochemical tests of pure culture with the API20C AUX and CHROMagar medium.

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The increased levels of IL-1β and IL-18 cytokines have been associated with the severity of sepsis and outcomes of patients infected with Talaromyces marneffei. Previous studies have suggested that NLRP3 plays an important role in caspase-1 activated secretion of IL-1β and IL-18 in fungal-infected macrophages. In the present study, the role of the NLRP3 inflammasome in talaromycosis is investigated in an in vitro assay and in vivo with a mice systemic infection model.

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Talaromycosis, namely Talaromyces marneffei infection, is increasing gradually and has a high mortality rate even under antifungal therapy. Although autophagy acts differently on different pathogens, it is a promising therapeutic strategy. However, information on autophagy in macrophages and animals upon infection by T.

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Background: Tinea capitis (TC) is one of the most common public health concerns due to its high incidence in preadolescent children. The epidemiological and clinical characteristics of TC vary depending on geographical regions and have changed over the past decades.

Objectives: This study aimed to identify epidemiological changes in recent decades, including the prevalence and clinical and mycological characteristics of TC in southern China.

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Genome-wide comparisons have shown Talaromyces marneffei possessed a stable mating type locus in its meiosis genes. But the function of the mating type locus in T. marneffei is not clear.

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  • Dematiaceous Fonsecaea monophora is a significant pathogen responsible for chromoblastomycosis, with melanization influenced by type I polyketide synthase (PKS) involving multiple genes.
  • Study focused on two PKS genes in F. monophora, revealing that deletion of the thioesterase (TE) domain in one gene leads to decreased expression of PKS and other related genes, impacting melanin synthesis and fungal growth.
  • The research highlights the importance of the TE enzyme for pathogenicity and suggests that targeting TE could present a new approach in antifungal drug development.
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Chromoblastomycosis (CBM) is a chronic disease caused by several species of dematiaceous fungi. In this study, a regional collection of 45 CBM cases was conducted in Guangdong, China, a hyper-endemic area of CBM. Epidemiology findings indicated that the mean age of cases was 61.

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Background: Onychomycosis is a common disease. Emerging noninvasive, real-time techniques such as dermoscopy and deep convolutional neural networks have been proposed for the diagnosis of onychomycosis. However, deep learning application in dermoscopic images has not been reported.

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Background: Talaromyces marneffei, formerly known as Penicillium marneffei, is a significant emerging pathogenic fungus in Southeast Asia which can generate life-threatening systemic infections. Human immunodeficiency virus (HIV) infection is considered as the most underlying disease among systemic infections. However, infections due to T.

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antifungal susceptibility profiling of 32 clinical and environmental isolates recovered from southern China was performed against olorofim and 7 other systemic antifungals, including amphotericin B, 5-flucytosine, posaconazole, voriconazole, caspofungin, and terbinafine, using CLSI methodology. In comparison, olorofim was the most active antifungal agent against both mold and yeast phases of all tested isolates, exhibiting an MIC range, MIC, and MIC of 0.0005 to 0.

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Onychomycosis is a fungal infection of the nail. The aim of this randomized controlled clinical trial was to compare the efficacy of 2940-nm Er:YAG laser treatment combined with a 5% amorolfine lacquer versus amorolfine monotherapy for treating onychomycosis. In this study, patients with onychomycosis of the great toenail were randomly assigned to a combination therapy group and a monotherapy group.

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Background: Chromoblastomycosis is a chronic, progressive fungal disease of the skin and subcutaneous tissue caused by a unique group of dematiaceous fungi. Fonsecaea monophora, a new species distinct from Fonsecaea pedrosoi strains, is the main pathogen responsible for chromoblastomycosis in south China. Macrophages can be polarized into two categories: classically activated and alternatively activated.

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Introduction: () is an emerging pathogenic fungus. Macrophage-1 antigen (Mac-1, CR3, CD11b/CD18) is an important receptor on innate immune cells and can recognize pathogens. However, the importance of CR3 in phagocytosis of by macrophages and their responses to have not been clarified.

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