Search Results (166)

Background and clinical significance: Trichoblastomas are rare, mixed epithelial tumors with a mesenchymal component and hair follicle differentiation. Case presentation: Herein, we present a case report of a 51-year-old female patient presenting to the obstetrics and gynecology department with complaints of edema and erythema of the right Bartholin gland, and a lesion measuring 2 cm on the right lateral edge of the mons pubis, towards the inguinal fold. Marsupialization of the Bartholin gland was performed, as well as an incision into the pubo-inguinal lesion, which the patient depicted as grossly resembling an ingrown hair. Upon incision into the pubic–inguinal lesion, it was dark brown in color and spontaneously popped out of the subcutis, without an attempt at enucleation. Histology and subsequent immunohistochemistry of the lesion showed a blue basaloid tumor with an extensive pigment component located deep in the dermis that was sharply demarcated from the surrounding tissues. Conclusion: Immunohistochemistry was diffusely and strongly positive for epithelial markers; melanocytic markers were positive only in dendritic melanocytes dispersed within the tumors, and the proliferative index was low. As such, the tumor was identified as melanotrichoblastoma. Full article

Vicia unijuga, an important forage legume on China’s Qinghai–Tibetan Plateau, exhibited dark-brown sunken lesions on their stems at the Qingyang Experimental Station of Lanzhou University. The fungus isolated from the diseased tissues was identified as Colletotrichum tofieldiae via a multi-locus phylogeny (ITS-ACT-Tub2-CHS-1-GADPH-HIS3). The pathogenicity was confirmed by Koch’s postulates. The inoculated plants showed significantly reduced (p < 0.05) growth parameters (height, root length, and biomass), photosynthetic indices (net rate, transpiration, and stomatal conductance), and nutritional quality (crude protein, crude fat, crude ash, and crude fiber) compared to the controls. C. tofieldiae additionally infected six legume species (V. sativa, Medicago sativa, Onobrychis viciifolia, Astragalus adsurgens, Trifolium pratense, and T. repens). Optimal in vitro growth occurred on oatmeal agar (mycelium) and cornmeal agar (spores), with D-sucrose and D-peptone as the best carbon and nitrogen sources. This first report of C. tofieldiae causing V. unijuga anthracnose advances the understanding of legume anthracnose pathogens. Full article

Persea americana (avocado) is a healthy fruit, rich in unsaturated fatty acids, various minerals, and vitamins. As avocado cultivation continues to expand globally, its development is increasingly constrained by concomitant diseases, among which fruit rot and anthracnose have emerged as significant threats to fruit quality. Menglian in Yunnan Province is the largest avocado production area in China. In November 2024, fruit rot was observed on avocado fruits in Yunnan, China, characterized by reddish-brown discoloration, premature ripening, softening, and pericarp decay, with a field infection rate of 22%. Concurrently, anthracnose was detected in avocado fruits, presenting as small dark brown spots that developed into irregular rust-colored lesions, followed by dry rot depressions, ultimately leading to soft rot, peeling, or hardened dry rot, with a field infection rate of 15%. Infected fruit samples were collected, and fungal strains were isolated, purified, and inoculated via spore suspension, followed by re-isolation. The strains were conclusively identified as Diaporthe phaseolorum (SWFU20, SWFU21) and Colletotrichum fructicola (SWFU12, SWFU13) through an integrated approach combining DNA extraction, polymerase chain reaction (PCR), sequencing, phylogenetic reconstruction, and morphological characterization. This is the first report of D. phaseolorum causing fruit rot and C. fructicola causing anthracnose on avocado in China. In future research, we will test methods for the control of D. phaseolorum and C. fructicola. The identification of these pathogens provides a foundation for future disease management research, supporting the sustainable development of the avocado industry. Full article

Background. The venom of Loxoscelesrufescens (L.r.), also known as the violin and/or brown spider, contains a wide variety of proteins and can induce a complex, intense, and uncontrolled inflammatory response, hemolysis, thrombocytopenia, dermo-necrosis, and renal failure. Studies have postulated the efficacy of hyperbaric oxygen therapy (HBOT) for Loxosceles bites. However, data describing the use and beneficial effects of HBO are, to date, relatively scarce. Only a few cases of Loxosceles bites in Northern Italy have been documented, and there is no laboratory test available for the diagnosis. Objectives. We present seven cases (aged 54.5 ± 4.2 years) of patients who presented to the emergency room (E.R.) of Niguarda Hospital in Milan from March to October 2022. Methods. Blood and urine samples were collected and biomarkers of oxidative stress (OxS) (reactive oxygen species (ROS), total antioxidant capacity (TAC), lipid peroxidation (8iso-PFG2α), DNA damage (8-OH-dG)), inflammation (IL-6, IL-1β, TNF-α, sICAM1), and renal function (creatinine, neopterin, uric acid) before (T0), during (T1, T2), and after (1–2 wk T3–T4; 1 month T5) the HBOT treatment (US Navy Treatment Table 15 protocol) were studied. Results. At T0, patients showed a significant unbalance of OxS; high levels of ROS, 8-isoPGF2α, and inflammatory status (IL-6, TNF-α; sICAM); and a low level of antioxidant capacity. At the end of HBOT (T2), a significant reduction in Oxy-inflammation levels over time—8-iso −26%, 8-OH-dG −9%, IL-6 −71%, IL-1bβ −12%, TNF-α −13%, and sICAM1 −17%—associated with clinical improvement was shown. Conclusions. These reductions, along with those in renal function markers, mirrored the observed improvement in the evolution of the skin lesion and the patients’ self-reported general wellness and pain. In conclusion, HBOT should be considered a valuable therapeutic tool after L.r. bites. Full article

Background and Clinical Significance: Kaposi sarcoma (KS) is a rare angio-proliferative mesenchymal tumor that predominantly affects the skin and mucous membranes but may involve lymph nodes and visceral organs. Clinically, it manifests as red-purple-brown papules, nodules, or plaques, either painless or painful, often with disfiguring potential. The diagnosis is traditionally based on clinical and histopathological evaluation, although non-invasive imaging techniques are increasingly used to support diagnosis and treatment monitoring. We report a case of HHV-8-negative Kaposi sarcoma evaluated with multiple non-invasive imaging modalities to highlight their diagnostic utility. Case Presentation: An 83-year-old man presented with multiple painful, violaceous papulo-nodular lesions, some ulcerated, on the lateral aspect of his left foot. Dermoscopy revealed the characteristic rainbow pattern. Dynamic Optical Coherence Tomography (D-OCT) allowed real-time visualization of microvascular abnormalities, identifying large serpentine and branching vessels with clearly delineated capsules. Line-field Optical Coherence Tomography (LC-OCT) showed irregular dermal collagen, vascular lacunae, and the presence of spindle cells and slit-like vessels. Histological analysis confirmed the diagnosis of Kaposi sarcoma, revealing a proliferation of spindle-shaped endothelial cells forming angulated vascular spaces, with red blood cell extravasation and a mixed inflammatory infiltrate. Conclusions: Non-invasive imaging tools, including dermoscopy, D-OCT, and LC-OCT, have emerged as valuable adjuncts in the diagnosis and monitoring of KS. These techniques enable in vivo assessment of vascular architecture and tissue morphology, enhancing clinical decision-making while reducing the need for immediate biopsy. Dermoscopy reveals polychromatic vascular features, such as the rainbow pattern, while D-OCT and LC-OCT provide high-resolution insights into vascular proliferation, tissue heterogeneity, and cellular morphology. Dermoscopy, dynamic OCT, and LC-OCT represent promising non-invasive diagnostic tools for the assessment of Kaposi sarcoma. These technologies provide detailed morphological and vascular information, enabling earlier diagnosis and more personalized management. While histopathology remains the gold standard, non-invasive imaging offers a valuable complementary approach for diagnosis and follow-up, particularly in complex or atypical presentations. Ongoing research and technological refinement are essential to improve accessibility and clinical applicability. Full article

The Alternaria alternata tangerine pathotype causes Alternaria brown spot, a devastating disease of susceptible tangerine varieties and their hybrids. Alternaria citri toxin (ACT) is the primary virulence factor, but the regulatory mechanisms governing ACT synthesis remain unclear. Deubiquitinating enzymes maintain ubiquitination homeostasis and regulate fungal pathogenicity, yet their role in A. alternata remains unexplored. We characterized 13 ubiquitin-specific protease (UBP) family members in A. alternata tangerine pathotype. Six UBP genes (Aaubp2, Aaubp3, Aaubp4, Aaubp6, Aaubp14, and Aaubp15) regulated mycelial growth. Aaubp14 deletion abolished sporulation, while mutations of Aaubp3, Aaubp4, Aaubp6, Aaubp8, and Aaubp15 altered conidial morphology. qRT-PCR demonstrated distinct host-induced expression patterns among Aaubp genes. Pathogenicity tests showed that ΔAaubp6, ΔAaubp14, and ΔAaubp15 mutants failed to produce lesions on Citrus reticulata cv. Hongjv leaves. Moreover, Aaubp14 deletion significantly suppressed ACT biosynthesis gene expression and blocked ACT production. Comparative proteomics showed Aaubp14 regulates ACT biosynthesis by modulating protein ubiquitination in metabolic pathways and controls pathogenicity via a complex network. Our findings elucidate Aaubp gene function in development and pathogenicity, particularly the Aaubp14-mediated regulation mechanism, providing insights into ubiquitination-mediated pathogenicity in phytopathogenic fungi. Full article

Tomato is a widely cultivated vegetable crop worldwide. It is susceptible to various phytopathogens, including fungi, bacteria, viruses, and nematodes. In 2024, an unknown leaf spot disease outbreak, characterized by distinct brown necrotic lesions on leaves, was observed in tomato plants in Yunnan Province, China. Through rigorous pathogen isolation and the fulfillment of Koch’s postulates, it was proved that the fungal isolate could infect tomato leaves and cause typical symptoms. The pathogen isolated from tomato leaves was identified as Nigrospora oryzae based on its morphology and using a multilocus sequence analysis method with the internal transcribed spacer gene (ITS1), beta-tubulin gene (TUB2), and translation elongation factor 1-alpha gene (TEF1-α). This represents the first documented case of N. oryzae infecting tomatoes in the world. Given the damage caused by N. oryzae to tomato plants, we explored biocontrol methods. Through a dual-culture assay on PDA plates, Bacillus velezensis B31 demonstrated significant biocontrol potential, exhibiting strong antagonistic activity toward N. oryzae. In addition, we developed a polyethylene glycol (PEG)-mediated transformation system that successfully introduced pYF11-GFP into the protoplasts of N. oryzae. This achievement provides a foundation for future genetic manipulation studies of N. oryzae. Full article

Grapevine trunk diseases (GTDs) are widespread worldwide, causing serious economic losses to the vitiviniculture industry. The etiology of the complex pathogenic mycobiome associated with this group of diseases is critical to implementing appropriate management strategies. Diseased grapevines exhibiting typical GTD symptoms were collected from vineyards in different provinces of Cyprus, resulting in 19 pycnidial isolates. A subsequent multilocus sequence analysis of six genetic loci (ITS, LSU, SSU, b-tub, tef1-a, and rpb2) identified them as Kalmusia variispora, and twelve representative isolates are included in the phylogenetic analyses. According to pathogenicity trials on two-year-old potted vines (cv. Mavro), all tested isolates were pathogenic, exhibiting light to dark brown discoloration and lesions of varying levels, ranging from 4 to 12.3 cm long. The capacity of K. variispora isolates to produce cell-wall-degrading exoenzymes was qualitatively estimated on solid media. Cellulase, pectinase, and laccase production were evident for all the tested isolates, except isolate CBS 151329, where the latter enzyme was undetected. The severity of the symptoms was consistent with the laccase-producing capacity. The present study confirmed the association of K. variispora with grapevines as a pathogen and represents the first description of this ascomycete as a GTD causal agent in Cyprus. This highly virulent species may play a significant role in the GTD complex, and its biological cycle and epidemiology should be further investigated. Full article

Peach palm (Bactris gasipaes Kunth) is a long-lived tropical palm valued for its edible, nutritious fruits. The cultivation area of peach palm, which was introduced to Thailand for fruit production, has been steadily expanding. Small brown spots that expanded into irregular lesions with dark margins were first observed on B. gasipaes seedlings in commercial nurseries in Phetchaburi Province, southern Thailand. To identify the causal pathogens, ten fungal isolates were obtained from symptomatic leaves and subjected to pathogenicity tests, confirming their ability to cause the disease. Morphological and molecular analyses identified five isolates as Colletotrichum fructicola (BGC02.2, BGC03) and C. theobromicola (BGC01, BGC02.1, BGC04) and five isolates as Fusarium pernambucanum (BGF01, BGF02, BGF03, BGF04.1, BGF04.2). Phylogenetic analysis was based on act, cal, gapdh, ITS, and tub2 regions for Colletotrichum spp. and cal, rpb2, and tef1-α for Fusarium spp. In vitro fungicide assays revealed that C. fructicola and C. theobromicola were the most sensitive to carbendazim, mancozeb, and prochloraz, while F. pernambucanum was effectively inhibited by mancozeb and prochloraz. This study represents the first report of C. fructicola, C. theobromicola, and F. pernambucanum causing leaf spot disease on B. gasipaes in Thailand, providing essential insights for disease management strategies in the region. Full article

Kale (Brassica oleracea var. sabellica), known for its high nutritional value and health benefits, has gained significant popularity. Recently, kale grown in soilless systems has also become increasingly popular, as these systems offer better environmental control and improve overall quality, making them an ideal method for cultivating kale. However, in 2023–2024, several kale plants exhibited severe symptoms of seedling and stem rot leading to losses of over 70% in both quality and yield. In this study, the infectious isolates were obtained from stem rot kale grown in soilless cultivation greenhouses across three provinces in central Thailand. The pathogens were identified through a combination of morphological characteristics and molecular techniques, utilizing nucleotide sequences from the internal transcribed spacer (ITS1-5.8S-ITS2) and large subunit ribosomal RNA (LSU rDNA). Pathogenicity tests and Koch’s postulates on 2-month-old kale plants confirmed that the fungus was responsible for causing brown stem lesions and rot. Morphological features and multilocus sequence analysis (MLSA) identified the pathogen as Agroathelia delphinii. This research represents the first report of A. delphinii infecting kale in Thailand, offering crucial insights for accurate disease diagnosis and the development of effective management strategies in soilless cultivation systems, which is essential for improving productivity in increasingly variable environments. Full article

The rising prevalence of skin lesions places a heavy burden on global health resources and necessitates an early and precise diagnosis for successful treatment. The diagnostic potential of recent multi-modal skin lesion detection algorithms is limited because they ignore dynamic interactions and information sharing across modalities at various feature scales. To address this, we propose a deep learning framework, Multi-Modal Skin-Imaging-based Information-Switching Network (MDSIS-Net), for end-to-end skin lesion recognition. MDSIS-Net extracts intra-modality features using transfer learning in a multi-scale fully shared convolutional neural network and introduces an innovative information-switching module. A cross-attention mechanism dynamically calibrates and integrates features across modalities to improve inter-modality associations and feature representation in this module. MDSIS-Net is tested on clinical disfiguring dermatosis data and the public Derm7pt melanoma dataset. A Visually Intelligent System for Image Analysis (VISIA) captures five modalities: spots, red marks, ultraviolet (UV) spots, porphyrins, and brown spots for disfiguring dermatosis. The model performs better than existing approaches with an mAP of 0.967, accuracy of 0.960, precision of 0.935, recall of 0.960, and f1-score of 0.947. Using clinical and dermoscopic pictures from the Derm7pt dataset, MDSIS-Net outperforms current benchmarks for melanoma, with an mAP of 0.877, accuracy of 0.907, precision of 0.911, recall of 0.815, and f1-score of 0.851. The model’s interpretability is proven by Grad-CAM heatmaps correlating with clinical diagnostic focus areas. In conclusion, our deep multi-modal information-switching model enhances skin lesion identification by capturing relationship features and fine-grained details across multi-modal images, improving both accuracy and interpretability. This work advances clinical decision making and lays a foundation for future developments in skin lesion diagnosis and treatment. Full article

In 2022, an outbreak of fungal rot disease affected luffa crops in Shanghai and Zhejiang Province. Infected plants exhibited symptoms including yellowing, chlorosis, wilting, and water-soaked occurred on leaves and fruits. Dark brown, concave lesions developed, often accompanied by white or pale pink mold under moist conditions. Fourteen pathogen strains, morphologically resembling Fusarium species, were isolated. Molecular analysis confirmed Fusarium incarnatum as the causative agent. Pathogenicity tests on luffa plants fulfilled Koch’s postulates, with inoculated plants displaying the same symptoms. Re-isolation of the fungus from the inoculated plants confirmed its role in the disease. To our knowledge, this is the first report of F. incarnatum causing leaf spot and fruit rot on luffa in China. Moreover, the soil bacterial strain Bacillus velezensis BV171 displayed strong inhibition of F. incarnatum mycelia growth and promoted the growth of sponge gourd plants. These findings lay the foundation for the development of diagnostic tools, disease management strategies, and the breeding of resistant luffa varieties. Full article

Mucinous cystic neoplasm of the liver (MCN-L) is a rare benign tumor accounting for less than 5% of all liver cysts, with MCN-L in the hilar region being exceptionally uncommon and often misdiagnosed due to its complex presentation. A 48-year-old woman presented with obstructive jaundice following initial laparoscopic drainage of hepatic cysts, where pathology initially indicated benign cystic lesions. Months later, imaging revealed an enlarged cystic lesion in the left liver lobe with intrahepatic bile duct dilation. Further evaluations, including ultrasound, enhanced CT, and MRI, confirmed a large cystic lesion compressing the intrahepatic bile ducts. After a multidisciplinary discussion, hepatic cyst puncture and drainage were performed, temporarily alleviating jaundice. However, she returned with yellowish-brown drainage fluid and worsening jaundice, prompting cyst wall resection. Postoperative pathology confirmed MCN-L. Three months later, jaundice subsided, and a hepatic resection of segment 4 was performed, with pathology confirming low-grade MCN-L. At a 12-month follow-up, the patient showed no abnormalities. This case highlights the diagnostic and therapeutic challenges of MCN-L in the hilar region, as it can easily be mistaken for other liver cystic lesions on imaging. Pathologic examination is essential for definitive diagnosis, and early radical surgical resection is critical to improve prognosis and reduce the risk of malignancy and recurrence. Full article

Stem blight is a significant disease affecting blueberries worldwide, caused by various pathogens. This study investigated stem blight disease in Ji’an, Jilin Province, China. Fungi isolated from diseased stems were identified as Colletotrichum temperatum, Curvularia austriaca, and Diaporthe unshiuensis based on morphological characters and multi-locus phylogenetic analyses using the internal transcribed spacer (ITS) region, glyceraldehyde 3-phosphate dehydrogenase (gapdh), chitin synthase (chs), actin (act), β-tubulin (tub2), the translation elongation factor 1-alpha (tef1-α), calmodulin (cal), and histone 3 (his3) regions. Pathogenicity test was conducted on detached green blueberry shoots, all shoots inoculated by mycelium plugs presented necrotic lesions with dark brown margins, while the control (PDA plugs) group did not show any symptoms. Koch’s postulates were confirmed by re-isolating the inoculated pathogen from the disease symptoms. The study provides three new host–pathogen records of fungi associated with blueberry stem blight. Full article

Kiwifruit canker disease, caused by different bacterial pathogens, was observed in Sichuan Province, China. Specifically, in the winter and spring seasons, Pseudomonas syringae pv. actinidiae (Psa) was identified as the primary pathogen, causing reddish-brown exudates, branch dieback, and phloem decay. In contrast, during the summer months, Pectobacterium carotovorum subsp. actinidiae (Pca) emerged as the primary causal agent of kiwifruit canker, exhibiting similar symptoms to those caused by Psa, such as exudates from leaf scars and lenticels, xylem necrosis, and branch desiccation. From 55 symptomatic samples, 34 bacterial isolates were obtained, with 28 identified as Psa and 6 as Pca. Pathogenicity tests revealed significant variation in virulence, with Psa isolate G5 and Pca isolate M5 showing the highest pathogenicity on leaves and branches, respectively. Both pathogens caused characteristic necrosis and lesion expansion, fulfilling Koch’s postulates. Phylogenetic analyses confirmed the distinct evolutionary relationships of Psa and Pca isolates. These findings highlight the seasonal variability of kiwifruit canker pathogens and emphasize the need for targeted disease management strategies. Full article