Malassezia furfur

Malassezia furfur (formerly known as Pityrosporum ovale in its hyphal form) is a species of yeast (a type of fungus) that is naturally found on the skin surfaces of humans and some other mammals. It is associated with a variety of dermatological conditions caused by fungal infections, notably seborrhoeic dermatitis and tinea versicolor. As an opportunistic pathogen, it has further been associated with dandruff, malassezia folliculitis, pityriasis versicolor (alba), and malassezia intertrigo,[1] as well as catheter-related fungemia and pneumonia in patients receiving hematopoietic transplants. The fungus can also affect other animals, including dogs.

Malassezia furfur
A scanning electron microscopy image of Malassezia furfur
Scientific classification
Kingdom: Fungi
Division: Basidiomycota
Class: Malasseziomycetes
Order: Malasseziales
Family: Malasseziaceae
Genus: Malassezia
Species:
M. furfur
Binomial name
Malassezia furfur
(C.P.Robin) Baill. (1889)
Synonyms
  • Microsporum furfur C.P.Robin (1853)

Background

Malassezia furfur is a fungus that lives on the superficial layers of the dermis. It generally exists as a commensal organism forming a natural part of the human skin microbiota, but it can gain pathogenic capabilities when morphing from a yeast to a hyphal form during its life cycle, through unknown molecular changes.[2] This can lead to its uncontrolled proliferation and a subsequent imbalance of the residential skin flora. Some virulence factors or properties which may increase the fungus' ability to acquire an infectious nature include the formation of biofilms, increased adherence to surfaces, and hydrophobicity.[3]

Infections with pathogenic M. furfur occur on the trunk or the limbs and present clinically as pigmented macules that can merge in the form of scaling plaques. Many of these lesions resolve spontaneously in most patients.[2] The pathogen most frequently affects children compared to people of other age groups.[4] It has been associated with numerous dermatological conditions, including seborrhoeic dermatitis, dandruff, pityriasis versicolor, and tinea circinata, all of which affect the skin.[5] Some other diseases can also arise due to an infection with the fungus, such as catheter-related fungemia and pneumonia in patients receiving hematopoietic cell transplants.[6]

Morphology and characteristics

Malassezia furfur is a unicellular organism which varies in size between 1.5–4.5 × 2.0–6.5 micrometers. The cells have a bottle-like shape due to a small protrusion visible at the end of each cell. Cells are difficult to grow in a lab since they require specific conditions.[7]

Treatment

Topical application of antifungal medications such as azole antimycotics, ciclopirox olamine, piroctone-olamine, zinc pyrithione, or sulfur compounds are commonly prescribed to treat diseases caused by Malassezia furfur.[5]

References
  1. Janniger, Camila K.; Schwartz, Robert A. (September 2005). "Intertrigo and Common Secondary Skin Infections". American Family Physician. 72 (5): 833–838.{{cite journal}}: CS1 maint: url-status (link)
  2. Goering Hazel Dockrell, Richard; L. Chiodini, Peter; M. Roitt, Ivan; Zuckerman, Mark (2012). Mims' Medical Microbiology (5 ed.). Elsevier Health Sciences. p. 345. ISBN 9780723436010.
  3. Angiolella, L; Leone, C; Rojas, F; Mussin, J; de los Angeles Sosa, M; Giusiano, G. (2017). "Biofilm, adherence, and hydrophobicity as virulence factors in Malassezia furfur". Medical Mycology. 56 (1): 110–116. doi:10.1093/mmy/myx014. PMID 28340187.
  4. A, Prohic; Sadikovic T, Jovovic; Krupalija-Fazlic, M; Kuskunovic-Vlahovljak, S. (2015). "Malasseziaspecies in healthy skin and in dermatological conditions". International Journal of Dermatology. 55 (5): 494–504. doi:10.1111/ijd.13116. PMID 26710919. S2CID 205190325.
  5. Schmidt, A. (1996). "Malassezia furfur: a fungus belonging to the physiological skin flora and its relevance in skin disorders". Cutis. 59 (1): 21–24. ISSN 0011-4162. PMID 9013067.
  6. Croitoru, A; Chen, H; Ramos-e-Silva, M; Busam, K. (2010). "Infectious Diseases of the Skin". Dermatopathology: 105–183. doi:10.1016/B978-0-443-06654-2.00003-2. ISBN 9780443066542.
  7. Larone 2002, p. 136

Bibliography
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