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      The Still Underestimated Problem of Fungal Diseases Worldwide

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          Abstract

          In the past few years, fungal diseases caused estimated over 1.6 million deaths annually and over one billion people suffer from severe fungal diseases ( Brown et al., 2012; Anonymous, 2017b). Public health surveillance of fungal diseases is generally not compulsory, suggesting that most estimates are conservative ( Casadevall, 2017; Anonymous, 2017a). Fungal disease can also damage plants and crops, causing major losses in agricultural activities and food production ( Savary et al., 2012). Animal pathogenic fungi are threatening bats, amphibians and reptiles with extinction ( Casadevall, 2017). It is estimated that fungi are the highest threat for animal-host and plant-host species, representing the major cause (approximately 65%) of pathogen-driven host loss ( Fisher et al., 2012). In this complex scenario, it is now clear that the global warming and accompanying climate changes have resulted in increased incidence of many fungal diseases ( Garcia-Solache and Casadevall, 2010). On the basis of all these factors, concerns on the occurrence of a pandemic of fungal origin in a near future have been raised ( Casadevall, 2017). In this context, to stop forgetting and underestimating fungal diseases is mandatory.

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          Most cited references58

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          Aspergillus fumigatus and aspergillosis.

          J P Latgé (1999)
          Aspergillus fumigatus is one of the most ubiquitous of the airborne saprophytic fungi. Humans and animals constantly inhale numerous conidia of this fungus. The conidia are normally eliminated in the immunocompetent host by innate immune mechanisms, and aspergilloma and allergic bronchopulmonary aspergillosis, uncommon clinical syndromes, are the only infections observed in such hosts. Thus, A. fumigatus was considered for years to be a weak pathogen. With increases in the number of immunosuppressed patients, however, there has been a dramatic increase in severe and usually fatal invasive aspergillosis, now the most common mold infection worldwide. In this review, the focus is on the biology of A. fumigatus and the diseases it causes. Included are discussions of (i) genomic and molecular characterization of the organism, (ii) clinical and laboratory methods available for the diagnosis of aspergillosis in immunocompetent and immunocompromised hosts, (iii) identification of host and fungal factors that play a role in the establishment of the fungus in vivo, and (iv) problems associated with antifungal therapy.
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            Biocontrol mechanisms of Trichoderma strains.

            The genus Trichoderma comprises a great number of fungal strains that act as biological control agents, the antagonistic properties of which are based on the activation of multiple mechanisms. Trichoderma strains exert biocontrol against fungal phytopathogens either indirectly, by competing for nutrients and space, modifying the environmental conditions, or promoting plant growth and plant defensive mechanisms and antibiosis, or directly, by mechanisms such as mycoparasitism. These indirect and direct mechanisms may act coordinately and their importance in the biocontrol process depends on the Trichoderma strain, the antagonized fungus, the crop plant, and the environmental conditions, including nutrient availability, pH, temperature, and iron concentration. Activation of each mechanism implies the production of specific compounds and metabolites, such as plant growth factors, hydrolytic enzymes, siderophores, antibiotics, and carbon and nitrogen permeases. These metabolites can be either overproduced or combined with appropriate biocontrol strains in order to obtain new formulations for use in more efficient control of plant diseases and postharvest applications.
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              Pneumocystis pneumonia.

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                Author and article information

                Contributors
                Journal
                Front Microbiol
                Front Microbiol
                Front. Microbiol.
                Frontiers in Microbiology
                Frontiers Media S.A.
                1664-302X
                12 February 2019
                2019
                : 10
                : 214
                Affiliations
                [1] 1Department of Biochemistry and Immunology, Ribeirão Preto Medical School, University of São Paulo , Ribeirão Preto, Brazil
                [2] 2Instituto Carlos Chagas, Fundação Oswaldo Cruz (Fiocruz) , Curitiba, Brazil
                [3] 3Instituto de Microbiologia, Universidade Federal do Rio de Janeiro , Rio de Janeiro, Brazil
                [4] 4Department of Molecular Microbiology and Immunology, Johns Hopkins Bloomberg School of Public Health , Baltimore, MD, United States
                [5] 5Department of Biosciences, College of Life and Environmental Sciences, University of Exeter , Exeter, United Kingdom
                Author notes

                Edited by: Agostinho Carvalho, University of Minho, Portugal

                Reviewed by: Praveen Rao Juvvadi, Duke University, United States; Guillermo Quindós, University of the Basque Country, Spain

                *Correspondence: Fausto Almeida, fbralmeida@ 123456usp.br Carolina Coelho, c.coelho@ 123456exeter.ac.uk

                This article was submitted to Fungi and Their Interactions, a section of the journal Frontiers in Microbiology

                Article
                10.3389/fmicb.2019.00214
                6379264
                30809213
                b870cb70-da8f-4238-91d0-619f3ddfb145
                Copyright © 2019 Almeida, Rodrigues and Coelho.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 24 September 2018
                : 25 January 2019
                Page count
                Figures: 0, Tables: 1, Equations: 0, References: 72, Pages: 5, Words: 0
                Funding
                Funded by: Fundação de Amparo à Pesquisa do Estado de São Paulo 10.13039/501100001807
                Award ID: 2016/03322-7
                Funded by: Coordenação de Aperfeiçoamento de Pessoal de Nível Superior 10.13039/501100002322
                Funded by: Conselho Nacional de Desenvolvimento Científico e Tecnológico 10.13039/501100003593
                Categories
                Microbiology
                Mini Review

                Microbiology & Virology
                fungal diseases,fungal infection,public health,fungal pathogen,fungi
                Microbiology & Virology
                fungal diseases, fungal infection, public health, fungal pathogen, fungi

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