Evidence map›Paper›PMID 40830836›Full record

ArticleBMC microbiology2025

Geographical distribution of Cryptococcus neoformans in Iran, pathogenic factors, and antifungal susceptibility profile.

Sara Hamzehee, Marzieh Halvaeizadeh, Maral Gharaghani, Hadis Jafarian, Simin Taghipour, Zahra Seifi, Sahar Hivary, Sadegh Noripour-Sisakht, Ali Zarei-Mahmoudabadi

Abstract read
In one paragraph

Article in BMC microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Sara HamzeheeDepartment of Medical Mycology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.ORCID 0009-0006-6956-712X
Marzieh HalvaeizadehDepartment of Medical Mycology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.ORCID 0000-0001-8589-571X
Maral GharaghaniMedicinal Plants Research Center, Yasuj University of Medical Sciences, Yasuj, Iran.ORCID 0000-0002-0144-3407
Hadis JafarianProfessor Alborzi Clinical Microbiology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID 0000-0002-8959-6482
Simin TaghipourDepartment of Medical Parasitology and Mycology, Faculty of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Zahra SeifiLaboratory Sciences Research Center, Department of Medical Parasitology and Mycology, Faculty of Paramedicine, Golestan University of Medical Sciences, Gorgan, Iran.
Sahar HivaryShahid Jahangirzadeh Clinic, Badreh, Ilam, Iran.
Sadegh Noripour-SisakhtMedicinal Plants Research Center, Yasuj University of Medical Sciences, Yasuj, Iran.
Ali Zarei-MahmoudabadiDepartment of Medical Mycology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. zarei40@hotmail.com.ORCID 0000-0002-5347-2082

Funding

Ahvaz Jundishapur University of Medical Sciences CMRC-0329
6 · The paper itself

Abstract

backgroundApproximately 70 species of Cryptococcus have been identified, some of which are human and animal pathogens, while others are environmental saprophytes. Cryptococcus neoformans is one of the most important pathogenic species, and pigeon droppings serve as the most important ecological niche. This study aimed to investigate the frequency of C. neoformans in pigeon droppings from various Iranian provinces, as well as assess the pathogenic factors and antifungal susceptibility of the isolates.

methods428 pigeon droppings samples were collected from 10 Iranian provinces and cultured on Niger seed agar. DNAs were extracted, and CNLAC1 (Outer and Inner) and STR1 primers were used for the detection of species and varieties of C. neoformans, respectively. Virulence factors were also identified using specific culture media under appropriate conditions. Antifungal susceptibility testing was conducted against 8 antifungals using CLSI guidelines.

resultsOut of the 428 examined samples, 37 (8.6%) were positive for C. neoformans. All isolates exhibited capsule production and dark brown pigmentation as key pathogenic factors. Urease and catalase activities were present in all isolates. Based on the established ECVs guidelines, all isolates displayed wild-type phenotypes against voriconazole and 5-flucytosine. While 100% isolates were non-wild type against amphotericin B.

conclusionsThe frequency of C. neoformans was 8.6% in Iranian cities, with a high (31.5%) frequency in Kermanshah and a low (3.1%) frequency in Fars province. All isolates showed sensitivity to voriconazole and 5-flucytosine. Additionally, pathogenic factors were present in all strains to varying degrees.

Indexed as

Antifungal AgentsCryptococcosisCryptococcus neoformansAnimalsColumbidaeFecesIranMicrobial Sensitivity TestsVirulence FactorsAntifungal AgentsVirulence FactorsAntifungal susceptibilityCapsuleCryptococcus neoformansIranMelaninVirulence factors

Identifiers

PMID40830836
PMCPMC12366023

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.