In Brazil, similar types of ocular infection were reported as adiaspiromycosis caused by nonbudding, thick-walled adiaconidia of the Emmonsia spp.
Acute conjunctivitis with episcleritis and anterior uveitis linked to adiaspiromycosis and freshwater sponges, Amazon region, Brazil, 2005.
Although emmonsia rarely infect humans, the fungi can cause localized granulomatous pulmonary disease (adiaspiromycosis) in immunocompetent persons (1-4).
Adiaspiromycosis causing respiratory failure and a review of human infections due to Emmonsia and Chrysosporium spp.
: a distinct dermatologic entity associated with Chrysosporium species.
As illustrated by articles in this issue about adiaspiromycosis (2), malaria (3,4), dengue (4), Chagas disease (5), Kaposi sarcoma-associated herpesvirus (6), suspected Brazilian purpuric fever (7), and other infections, new diseases continue to emerge and old ones continue to undergo epidemiologic change throughout the vast Amazon River basin.
Acute conjunctivitis with episcleritis and anterior uveitis linked to adiaspiromycosis and fresh-water sponges, Amazon region, Brazil, 2005.
Adiaspiromycosis, caused by the fungus Emmonsia sp., was first identified in Brazil during pathologic examination of lung tissue in a patient with pneumonia who died unexpectedly during treatment (1).
These results confirm the existence of an outbreak of conjunctivitis and severe ocular disease probably caused by adiaspiromycosis, mainly among school-aged children.
The presence of malaria, dengue fever, orally transmitted Chagas disease, Kaposi sarcoma-associated herpesvirus infection, adiaspiromycosis
, and many other emerging diseases indicates that emergence and epidemiologic change are vigorous and ongoing in the Amazon Basin.
Which of the following is the most likely mechanism for disease associated with adiaspiromycosis
However, potential differential diagnoses that should be considered include polypoid or granulomatous rhinitis caused by fungal infection with Coccidioides immitis or Chrysosporium parvum (the causative agent of adiaspiromycosis
) and neoplasia (11,13).