Submitted:
16 July 2026
Posted:
17 July 2026
You are already at the latest version
Abstract
Keywords:
1. Introduction
2. Global Patterns of Fungal Transmission and Geographic Expansion
3. Rapid Emergence of Antifungal Resistance
4. Effect of Antifungal Resistance
5. Climate Change as a Driver of Emerging and Re-Emerging Fungal Diseases
6. Zoonotic Spillover and Host Adaptation in Fungal Pathogens
7. Diagnostic Strategies and Standardized Protocols for Fungal Detection
8. Current Knowledge Gaps and Methodological Limitations in Fungal Epidemiology and Genomics
9. Conclusions
References
- Alexander EB, Coleman RG, Keeler-Wolf T, Harrison SP: Serpentine geoecology of western North America: Geology, soils, and vegetation. Oxford: Oxford University Press; 2007.
- Ali-Shtayeh MS, Khaleel TK, Jamous RM: Ecology of dermatophytes and other keratinophilic fungi in swimming pools and polluted and unpolluted streams. Mycopathologia 2002, 156:193-205. [CrossRef]
- Amin H, Bertelsen RJ: Climate change and indoor biological exposures: A hidden risk to immune health. Front Public Health 2025, 13:1597881. [CrossRef]
- Aneke CI, Rhimi W, Hubka V, Otranto D, Cafarchia C: Virulence and antifungal susceptibility of Microsporum canis strains from animals and humans. Antibiotics 2021, 10:296. [CrossRef]
- Anupama YJ: Climate change and human health: Time to recognize the new threat. APIK J Intern Med 2025, 13:13-22. [CrossRef]
- Araya S, Tesfaye B, Fente D: Epidemiology of dermatophyte and non-dermatophyte fungi infection in Ethiopia. Clin Cosmet Investig Dermatol 2020, 13:291-297. [CrossRef]
- Aruna GL, Bellibatlu R: Dermatophytes: Keratin eaters. Kavaka 2024, 60:1-8.
- Bazzicalupo A: Local adaptation in fungi. FEMS Microbiol Rev 2022, 46:fuac026. [CrossRef]
- Belmokhtar Z, Djaroud S, Matmour D, Merad Y: Atypical and unpredictable superficial mycosis presentations: A narrative review. J Fungi 2024, 10:295. [CrossRef]
- Bhatia VK, Sharma PC: Epidemiological studies on dermatophytosis in human patients in Himachal Pradesh, India. SpringerPlus 2014, 3:134. [CrossRef]
- Bidartondo MI, Ellis C, Kauserud H, Kennedy PG, Lilleskov EA, Suz LM, Andrew C: Climate change: Fungal responses and effects. In State of the World’s Fungi 2018. 2018.
- Bontems O, Fratti M, Salamin K, Guenova E, Monod M: Epidemiology of dermatophytoses in Switzerland. J Fungi 2020, 6:95. [CrossRef]
- Brescini L, Fioriti S, Morroni G, Barchiesi F: Antifungal combinations in dermatophytes. J Fungi 2021, 7:727. [CrossRef]
- Britto Martins de Oliveira J, Barbieri M, Corrêa-Junior D, Schmitt M, Santos LLR, Bahia AC, Parente CET, Frases S: Urban mangroves under threat: Metagenomic analysis reveals a surge in human and plant pathogenic fungi. Pathogens 2025, 14:759.
- Brooks RR: Serpentine and its vegetation: A multidisciplinary approach. Oregon: Dioscorides Press; 1987. [CrossRef]
- Burstein VL, Beccacece I, Guasconi L, Mena CJ, Cervi L, Chiapello LS: Skin immunity to dermatophytes. Front Immunol 2020, 11:605644. [CrossRef]
- Cabañes F: Dermatophytes in domestic animals. Rev Iberoam Micol 2000, 17:104-108.
- Casadevall A, Kontoyiannis DP, Robert V: On the emergence of Candida auris: Climate change, azoles, swamps, and birds. mBio 2019, 10:e01397-19.
- Chang CC, Wechtaisong W, Chen SY, Cheng MC, Chung CS, Lin LS, Lien YY, Tsai YL: Prevalence and risk factors of zoonotic dermatophyte infection in pet rabbits in northern Taiwan. J Fungi 2022, 8:627. [CrossRef]
- Chanyachailert P, Leeyaphan C, Bunyaratavej S: Cutaneous fungal infections caused by dermatophytes and non-dermatophytes. J Fungi 2023, 9:669. [CrossRef]
- Cheng KW, Yang JI, Srimongkol P, Ariyawansa HA, Stadler M, Karnchanatat A: Fungal frontiers in toxic terrain. IMA Fungus 2025, 16:e155308. [CrossRef]
- Cowen LE, Sanglard D, Howard SJ, Rogers PD, Perlin DS: Mechanisms of antifungal drug resistance. Cold Spring Harb Perspect Med 2014, 5:a019752.
- Day AM, McNiff MM, da Silva Dantas A, Gow NAR, Quinn J: Hog1 regulates stress tolerance and virulence in the emerging fungal pathogen Candida auris. mSphere 2018, 3:e00506-18. [CrossRef]
- De Hoog GS, Dukik K, Monod M, et al.: Toward a novel multilocus phylogenetic taxonomy for the dermatophytes. Mycopathologia 2017, 182:5-31. [CrossRef]
- Deng R, Wang X, Li R: Dermatophyte infection: From fungal pathogenicity to host immune responses. Front Immunol 2023, 14:1285887. [CrossRef]
- Denning DW: Global incidence and mortality of severe fungal diseases. Lancet Infect Dis 2024, 24:e428-e438. [CrossRef]
- Djaroud S, Belmokhtar Z, Merad Y, Nassour K, Belkacemi M, Matmour D, Merad Z: The influence of gaseous ozone on the growth of fungi isolated from clinical and environmental samples. Environ Health Eng Manag 2023, 10:261-265. [CrossRef]
- Dogra S, Narang T: Emerging atypical and unusual presentations of dermatophytosis in India. Clin Dermatol Rev 2017, 1(Suppl 1):S12-S18.
- Du Y, Fu X, Chu Y, Wu P, Liu Y, Ma L, Tian H, Zhu B: Biosynthesis and the roles of plant sterols in development and stress responses. Int J Mol Sci 2022, 23:2332. [CrossRef]
- Ebrahimi M, Zarrinfar H, Naseri A, Najafzadeh MJ, Fata A, Parian M, Khorsand I, Novak Babič M: Epidemiology of dermatophytosis in northeastern Iran: A subtropical region. Curr Med Mycol 2019, 5:16-21.
- Fernando LD, Pérez-Llano Y, Dickwella Widanage MC, Jacob A, Martínez-Ávila L, Lipton AS, Batista-García RA, Gunde-Cimerman N, Latgé JP, Wang T: Structural adaptation of fungal cell wall in hypersaline environment. Nat Commun 2023, 14:7082. [CrossRef]
- Fernández-Bravo A, Camuña-Pardo L, Sanchis M, Ahmiane Y, Capilla J, Gené J: Pathogenic characterization of Phialophora submersa, a new black yeast isolated from freshwater sediments in Spain. Front Cell Infect Microbiol 2025, 15:1620047. [CrossRef]
- Folasole A: Data analytics and predictive modelling approaches for identifying emerging zoonotic infectious diseases: Surveillance techniques, prediction accuracy, and public health implications. Int J Eng Technol Res Manag 2023, 7:292-308.
- Galuppi R, Gambarara A, Bonoli C, Ostanello F, Tampieri MP: Antimycotic effectiveness against dermatophytes: Comparison of two in vitro tests. Vet Res Commun 2010, 34(Suppl 1):S57-S61. [CrossRef]
- Ganesan PI, Sravani G, Archana C: Climate change–shifts in dermatophytes, fungi and yeasts activities: A field level retrospective study in domestic animals. Int J Adv Biochem Res 2025, 9(Suppl 6):200-204. [CrossRef]
- Garcia-Bustos V: Is Candida auris the first multidrug-resistant fungal zoonosis emerging from climate change? mBio 2024, 15:e00146-24. [CrossRef]
- García-Martín JM, Muro A, Fernández-Soto P: Diagnosis of human endemic mycoses caused by thermally dimorphic fungi: From classical to molecular methods. J Fungi 2024, 10:637. [CrossRef]
- Gawdzik A, Nowogrodzka K, Hryncewicz-Gwozdz A, Szepietowski J, Maj J, Jankowska-Konsur A: Epidemiology of dermatophytoses in paediatric population in Southwestern Poland, 2011–2016. Adv Dermatol Allergol 2021, 38:91-95. [CrossRef]
- George ME, Gaitor TT, Cluck DB, Henao-Martínez AF, Sells NR, Chastain DB: The impact of climate change on the epidemiology of fungal infections: Implications for diagnosis, treatment, and public health strategies. Ther Adv Infect Dis 2025, 12:1-24. [CrossRef]
- Gómez-De-Anda FR, Flores-Jiménez NG, de-la-Rosa-Arana JL, Zepeda-Velázquez AP: Isolation and identification of filamentous fungi and yeasts with zoonotic potential obtained from cattle egret (Bubulcus ibis) droppings. Vet Res Forum 2023, 14:525-530. [CrossRef]
- Gusa A, Williams JD, Cho J, Averette AF, Sun S, Shouse EM, Heitman J, Alspaugh JA, Jinks-Robertson S: Transposon mobilization in the human fungal pathogen Cryptococcus is mutagenic during infection and promotes drug resistance in vitro. Proc Natl Acad Sci USA 2020, 117:9973-9980. [CrossRef]
- Gupta AK, Thornbush M, Wang T: Climate change, natural disasters, and cutaneous fungal infections. Int J Dermatol 2025, 64:1349-1355.
- Gupta CM, Dhanvijay AG, Tripathi K, Nema S: Current trends of clinicomycological profile of dermatophytosis in Central India. IOSR J Dent Med Sci 2014, 13:23-26. [CrossRef]
- Halak K: Allergenic fungal spores, climate change, urbanization, and socioeconomic disparities in Lithuania: A non-systematic literature review. Slauga Mokslas ir Praktika 2025, 6:63-70. [CrossRef]
- Hasso-Agopsowicz M, Hwang A, Hollm-Delgado MG, Umbelino-Walker I, Karron RA, Rao R, Asante KP, Sheel M, Sparrow E, Giersing B: Identifying WHO global priority endemic pathogens for vaccine research and development (R&D) using multi-criteria decision analysis (MCDA): An objective of the Immunization Agenda 2030. EBioMedicine 2024, 110:105424. [CrossRef]
- Hayette MP, Sacheli R: Dermatophytosis: Trends in epidemiology and diagnostic approach. Curr Fungal Infect Rep 2015, 9:164-179. [CrossRef]
- Hwang SY, Lim YK, Choe KW, Choi YH, Lee MK: Seasonality and epidemiological trends in species distribution and antifungal susceptibility of Candida species isolated from various clinical specimens conducted during 2011–2022, Korea: A retrospective surveillance study. Ann Clin Microbiol 2024, 27:185-196. [CrossRef]
- Ibrahim SY, Abd El-Salam MM: Anti-dermatophyte efficacy and environmental safety of some essential oils commercial and in vitro extracted pure and combined against four keratinophilic pathogenic fungi. Environ Health Prev Med 2015, 20:279-286.
- Ibe C, Pohl CH: Climatic and endothermic thermal stress adaptation may be a major driver of emerging and emergent multidrug resistant fungi. Front Microbiol 2025, 16:1575755. [CrossRef]
- Jain N, Sharma M, Sharma M, Saxena V: Spectrum of dermatophytoses in Jaipur, India. Afr J Microbiol Res 2014, 8:237-243.
- Janardhan B, Vani G: Clinico mycological study of dermatophytosis. Int J Res Med Sci 2016, 5:31-39.
- Jartarkar SR, Patil A, Goldust Y, Cockerell CJ, Schwartz RA, Grabbe S, Goldust M: Pathogenesis, immunology and management of dermatophytosis. J Fungi 2022, 8:39.
- Khosravi A, Kordbacheh P, Bokaee S: An epidemiological approach to the zoophilic dermatophytoses in Iran. Med J Islam Repub Iran 1994, 7:253-257.
- Kruckeberg AR: Plant life of western North American ultramafics. In: Roberts BA, Proctor J, eds. The ecology of areas with serpentinized rocks: A world view. Dordrecht: Kluwer Academic Publishers; 1992:31-74.
- Kruithoff C, Gamal A, McCormick TS, Ghannoum MA: Dermatophyte infections worldwide: Increase in incidence and associated antifungal resistance. Life 2024, 14:1.
- Kukhar Y, Kiyan V, Smagulova A, Nikulina A: Identification of dermatomycetes isolated from people and animals with dermatophytoses on the territory of Kazakhstan. Adv Anim Vet Sci 2019, 7(Suppl 1):21-27.
- Kunert J: Physiology of keratinophilic fungi. Department of Biology, Faculty of Medicine, Palacky University, Olomouc, Czech Republic.
- Kumar P, Ramachandran S, Das S, Bhattacharya SN, Taneja B: Insights into changing dermatophyte spectrum in India through analysis of cumulative 161,245 cases between 1939 and 2021. Mycopathologia 2023, 188:183-202.
- Kumar V, Sarma VV, Thambugala KM, Huang JJ, Li XY, Hao GF: Ecology and evolution of marine fungi with their adaptation to climate change. Front Microbiol 2021, 12:719000.
- Kwaśna H, Małecka M, Sierota Z, Jaworski T: Effects of sawdust amendment on forest soil fungal community and infestation by cockchafers. Dendrobiology 2016, 75:87-97. [CrossRef]
- Lass-Flörl C, Cuenca-Estrella M: Changes in the epidemiological landscape of invasive mould infections and disease. J Antimicrob Chemother 2017, 72(Suppl 1):i5-i11. [CrossRef]
- Lee SC, Ni M, Li W, Shertz C, Heitman J: The evolution of sex: A perspective from the fungal kingdom. Microbiol Mol Biol Rev 2010, 74:298-340. [CrossRef]
- Li J, Li X, Guo S, Xi J, Shao Y, Chen Y, Yuan Z: Soil microorganism distributions depend on habitat partitioning of topography in a temperate mountain forest. Microbiol Spectr 2025, 13:e02056-24. [CrossRef]
- Liu B, Fu R, Wu B, Liu X, Xiang M: Rock-inhabiting fungi: Terminology, diversity, evolution and adaptation mechanisms. Mycology 2022, 13:1-31. [CrossRef]
- Liu S, Xiong C, Lin L, Keyhani NO, Zhu M, Zhao Z, Zhang W, Yang C, Su H, Liu P, Guan X, Qiu J: Assessing the structure and diversity of fungal community in plant soil under different climatic and vegetation conditions. Front Microbiol 2023, 14:1288066. [CrossRef]
- Logan A, Wolfe A, Williamson JC: Antifungal resistance and the role of new therapeutic agents. Curr Infect Dis Rep 2022, 24:105-116. [CrossRef]
- Maggi O, Tosi S, Angelova M, Lagostina E, Fabbri AA, Pecoraro L, Altobelli E, Picco AM, Savino E, Branda E, Turchetti B, Zotti M, Vizzini A, Buzzini P: Adaptation of fungi, including yeasts, to cold environments. Plant Biosyst 2013, 147:247-258. [CrossRef]
- Martinez-Rossi NM, Peres NTA, Bitencourt TA, Martins MP, Rossi A: State-of-the-art dermatophyte infections: Epidemiology aspects, pathophysiology, and resistance mechanisms. J Fungi 2021, 7:629.
- Mawar R, Saranya R: Bio diversity of fungal pathogens in Indian arid region: Impact of climate change. Biodivers Online J 2023, 4:000586.
- Mazzotta E, Lucchese L, Corrò M, Ceglie L, Danesi P, Capello K, Natale A: Zoonoses in dog and cat shelters in north-east Italy: Update on emerging, neglected and known zoonotic agents. Front Vet Sci 2024, 11:1490649. [CrossRef]
- Metcalf R, Akinbobola A, Woodford L, et al.: Thermotolerance, virulence, and drug resistance of human pathogenic Candida species colonising plastic pollution in aquatic ecosystems. Environ Sci Pollut Res 2025, 32:14993-15005. [CrossRef]
- Metin B, Heitman J: Sexual reproduction in dermatophytes. Mycopathologia 2017, 182:45-55.
- Mina S, Yaakoub H, Razafimandimby B, Dwars E, Wéry M, Papon N, Meyer W, Bouchara JP: First environmental survey of Scedosporium species in Lebanon. Front Cell Infect Microbiol 2025, 15:1547800.
- Moallaei H, Zaini F, Pihet M, Mahmoudi M, Hashemi J: Isolation of keratinophilic fungi from soil samples of forests and farm yards. Iran J Public Health 2006, 35:62-69.
- Money NP: Fungal thermotolerance revisited and why climate change is unlikely to be supercharging pathogenic fungi (yet). Fungal Biol 2024, 128:1638-1641. [CrossRef]
- Motta JC, Rivas-Pinedo P, Onate JM: Changing climate, changing Candida: Environmental and social pressures on invasive candidiasis and antifungal resistance in Latin America. J Fungi 2025, 11:609. [CrossRef]
- Narayanasamy S, Dat VQ, Thanh NT, Ly VT, Chan JF, Yuen KY, Ning C, Liang H, Li L, Chowdhary A, Youngchim S, Supparatpinyo K, Aung NM, Hanson J, Andrianopoulos A, Dougherty J, Govender NP, Denning DW, Chiller T, et al.: A global call for talaromycosis to be recognised as a neglected tropical disease. Lancet Glob Health 2021, 9:e1618-e1622. [CrossRef]
- Naranjo-Ortiz MA, Gabaldón T: Fungal evolution: Major ecological adaptations and evolutionary transitions. Biol Rev 2019, 94:1443-1476.
- Nnadi NE, Carter DA: Climate change and the emergence of fungal pathogens. PLoS Pathog 2021, 17: e1009503. [CrossRef]
- Nonzom S, Sumbali G: Fate of mitosporic soil fungi in cold deserts: A review. Am Int J Res Formal Appl Nat Sci 2015, 9:1-9.
- Noffsinger C, Cripps CL, Horak E: A 200-year history of arctic and alpine fungi in North America: Early sailing expeditions to the molecular era. Arct Antarct Alp Res 2020, 52:323-340. [CrossRef]
- Oliveira MME, Lima VFM, Costa GL, Baptista BO, Augusto JA, Hauser-Davis RA: First report of the emerging pathogenic yeast Candida palmioleophila in commercially relevant fish from southeastern Brazil. Front Fungal Biol 2025, 6:1545572. [CrossRef]
- Onofri S, Belisario A: Diversity of form, function and adaptation in fungi. In: Biological science fundamentals and systematics – Vol. II: Diversity of form, function and adaptation in fungi. Encyclopedia of Life Support Systems (EOLSS).
- Park JM, Hong JW, Lee W, Lee BH, You YH: Geographical isolation and root-associated fungi in the marine terrains: A step toward establishing a strategy for acquiring unique microbial resources. Mycobiology 2021, 49:235-248. [CrossRef]
- Park JM, Kwak TW, Hong JW, You YH: Root-layer fungi native to four volcanic topographies on conserved ocean islands: Another clue to facilitate access to newer natural microbial resources in extreme terrains. Sustainability 2023, 15:12824. [CrossRef]
- Perrone G, Ferrara M, Medina A, Pascale M, Magan N: Toxigenic fungi and mycotoxins in a climate change scenario: Ecology, genomics, distribution, prediction and prevention of the risk. Microorganisms 2020, 8:1496. [CrossRef]
- Petrucelli MF, Abreu MH, Cantelli BAM, Segura GG, Nishimura FG, Bitencourt TA, Marins M, Fachin AL: Epidemiology and diagnostic perspectives of dermatophytoses. J Fungi 2020, 6:310. [CrossRef]
- Phan-Canh T, Kuchler K: Do morphogenetic switching and intraspecies variation enhance virulence of Candida auris? PLoS Pathog 2024, 20:e1012559.
- Purvis OW: Adaptation and interaction of saxicolous crustose lichens with metals. Bot Stud 2014, 55:23. [CrossRef]
- Rao RM, Mahale R, Shivappa S, Anantharajaurs T, Kulkarni M: Mycological study of dermatophytosis in a part of South India. Malays J Microbiol 2017:1-5. [CrossRef]
- Rio P, Caldarelli M, Gasbarrini A, Gambassi G, Cianci R: The impact of climate change on immunity and gut microbiota in the development of disease. Diseases 2024, 12:118. [CrossRef]
- Rossi L, Sorrentino A, Signoretto C, Gaibani P: Epidemiology and genomic characterization of Trichophyton mentagrophytes over a period of 4 years in Northern Italy. J Fungi 2025, 11:566. [CrossRef]
- Roth MG, Westrick NM, Baldwin TT: Fungal biotechnology: From yesterday to tomorrow. Front Fungal Biol 2023, 4:1135263. [CrossRef]
- Sacheli R, Hayette MP: Antifungal resistance in dermatophytes: Genetic considerations, clinical presentations and alternative therapies. J Fungi 2021, 7:983. [CrossRef]
- Schwiesow MJW, Farinella LA, Ruzic M, Leinas JT, Elde NC, Hilbert ZA: Distinct routes to thermotolerance in the fungal pathogen Cryptococcus neoformans. Genetics 2025, 231:iyaf165. [CrossRef]
- Selbmann L, Egidi E, Isola D, Onofri S, Zucconi L, de Hoog GS, Chinaglia S, Testa L, Tosi S, Balestrazzi A, Lantieri A, Compagno R, Tigini V, Varese GC: Biodiversity, evolution and adaptation of fungi in extreme environments. Plant Biosyst 2013, 147:237-246.
- Segal E, Elad D: Human and zoonotic dermatophytoses: Epidemiological aspects. Front Microbiol 2021, 12:713532. [CrossRef]
- Shankar T: Dermatophytosis and its homoeopathic management in poor socioeconomic patients. Int J Sci Res 2024, 13:231-232. [CrossRef]
- Simpanya M: Dermatophytes: Their taxonomy, ecology and pathogenicity. Rev Iberoam Micol 2000, 17.
- Smith DFQ, Kulkarni M, Bencomo A, Faiez TS, Hardwick JM, Casadevall A: Environmental fungi from cool and warm neighborhoods in the heat island of Baltimore City show differences in thermal susceptibility and pigmentation. ISME Commun 2025, 5:ycaf177. [CrossRef]
- Sousa MGT, Santana GB, Criado PR, Benard G: Chronic widespread dermatophytosis due to Trichophyton rubrum: A syndrome associated with a Trichophyton-specific functional defect of phagocytes. Front Microbiol 2015, 6:801. [CrossRef]
- Sztandera-Tymoczek M, Szuster-Ciesielska A: Fungal aeroallergens—The impact of climate change. J Fungi 2023, 9:544. [CrossRef]
- Teklebirhan G, Bitew A: Prevalence of dermatophytic infection and the spectrum of dermatophytes in patients attending a tertiary hospital in Addis Ababa, Ethiopia. Int J Microbiol 2015, 2015:653419. [CrossRef]
- Thakur R, Kalsi AS: Updates on genital dermatophytosis. Clin Cosmet Investig Dermatol 2020, 13:743-750. [CrossRef]
- Upadhyay V, Kumar A, Singh AK, Pandey J: Epidemiological characterization of dermatophytes at a tertiary care hospital in Eastern Uttar Pradesh, India. Curr Med Mycol 2019, 5:1-6. [CrossRef]
- Van Nuland ME, Averill C, Stewart JD, Prylutskyi O, Corrales A, van Galen LG, Manley BF, Qin C, Lauber T, Mikryukov V, Dulia O, Furci G, Marín C, Sheldrake M, Weedon JT, Peay KG, Cornwallis CK, Větrovský T, Kohout P, et al.: Global hotspots of mycorrhizal fungal richness are poorly protected. Nature 2025. [CrossRef]
- Vitasse Y, Ursenbacher S, Klein G, Bohnenstengel T, Chittaro Y, Delestrade A, Monnerat C, Rebetez M, Rixen C, Strebel N, Schmidt B, Wipf S, Wohlgemuth T, Yoccoz N, Lenoir J: Phenological and elevational shifts of plants, animals and fungi under climate change in the European Alps. Biol Rev 2021. [CrossRef]
- Vivas Hernando A, Sun W, Abitbol T: “You are what you eat”: How fungal adaptation can be leveraged toward myco-material properties. Glob Chall 2023:2300140.
- Wang M, Tian J, Xiang M, Liu X: Living strategy of cold-adapted fungi with reference to several representative species. Mycology 2017, 8:178-188. [CrossRef]
- Williams SL, Toda M, Chiller T, Brunkard JM, Litvintseva AP: Effects of climate change on fungal infections. PLoS Pathog 2024, 20:e1012219.
- Xu N, Min X, Wu K, La T, Cao B: Environmental transmission from bamboo rats: Mapping current and future talaromycosis risk in China under climate change. One Health 2025, 21:101264. [CrossRef]
- Yao Y, Gao S, Ding X, Zhang Q, Li P: Topography effect on Aspergillus flavus occurrence and aflatoxin B1 contamination associated with peanut. Curr Res Microb Sci 2021, 2:100021. [CrossRef]
- Yu W, Xing H, Wang C, Cui X, Wu X, Liu Y: Assessing soil fungal diversity under different sampling schemes in conjunction with remote sensing technologies in a subtropical forest. Geoderma 2024.
- Zhang Y, Xie Y, Ma H, Zhang J, Jing L, Wang Y, Li J: The influence of climate warming and humidity on plant diversity and soil bacteria and fungi diversity in desert grassland. Plants 2021, 10:2580. [CrossRef]
- Zakharova K, Marzban G, de Vera JP, Lorek A, Sterflinger K: Protein patterns of black fungi under simulated Mars-like conditions. Sci Rep 2014, 4:5114.
- Zheng W, Qiao F, Yang X, Tang X, Lin C, Chen Q, Pan Z, Chen R: Tinea capitis in Hainan: A prospective study. Front Cell Infect Microbiol 2025, 15:1590315.
- Zhou X, Qin S, Zhu J, Sun X, He X: Effects of alpine environments on wheat mycobiomes: Diversity, composition and functional adaptations. J Plant Ecol 2025, 18:rtaf 094. [CrossRef]




| Species/Complex | Resistance Pattern (Drug class) | Key molecular mechanisms | Evolutionary/Epidemiological Features | Clinical & Public Health Implications |
| Candida parapsilosis | FCZ: up to 63% (regional outbreaks) VCZ: cross-resistance (~44%) Emerging echinocandin resistance AmB: <3% resistance | ERG11 mutations (Y132F, K143R) Silent T591C mutation Efflux pump overexpression FKS1 hotspot mutations (F652S, R658G, S656P) Natural P660A polymorphism | Clonal nosocomial outbreaks Resistance without prior exposure Adaptive mutation + hospital persistence | Persistent candidemia Reduced echinocandin efficacy AmB as salvage therapy Requires molecular surveillance |
| Candida tropicalis | Azoles: ~10% resistance Echinocandins: ~0.4% AmB: highly active | ERG11 mutations (Y132F, Y257H/N) FKS1 mutation (S659P) | High genotypic diversity Environmental reservoirs (e.g., beach sand) Long-distance clonal spread (>1400 km) | Potential unrecognized outbreaks Strong candidate for One Health surveillance |
| Nakaseomyces glabratus | FCZ: 4–30% (variable regionally) Echinocandins: up to 10% Polyenes: rare resistance | PDR1 mutations FKS1/FKS2 hotspot mutations Biofilm formation EPA adhesins | High adaptability under drug pressure Prior echinocandin exposure selects mutants Intracellular persistence | Multidrug resistance risk Elevated MICs compromise therapy AmB critical in salvage regimens |
| Pichia kudriavzevii | Intrinsic FCZ resistance (~70%) VCZ: ~25% Echinocandins: <5% baseline AmB: >95% susceptible | FKS1 hotspot mutations (treatment-emergent) | Intrinsic azole resistance Resistance may emerge during therapy Regional variability | Requires echinocandin first-line Transition to AmB in breakthrough infection |
| Candida haemulonii complex | Multidrug resistance FCZ & AmB resistance common | Not fully characterized Misidentification common | Emerging invasive pathogen Frequently misidentified Hospital-associated | Requires MALDI-TOF/molecular ID Surveillance essential |
| Candida duobushaemulonii | Multidrug resistant | Limited genomic data Likely shared mechanisms with haemulonii complex | Underdiagnosed nosocomial spread Misidentified during surveillance | Hidden burden Requires reference-lab confirmation |
| Meyerozyma guilliermondii complex | Azole resistance: 40–70% Reports of AmB & echinocandin resistance | Genetic diversity Clade-specific azole resistance | High taxonomic complexity Clade spread (e.g., M. caribbica) | Individualized therapy needed Strengthened molecular diagnostics required |
|
Candida rugosa |
FCZ resistance: ~65% VCZ reduced sensitivity AmB resistance reported | Not fully defined | Higher regional prevalence ICU-associated outbreaks | Azoles unreliable Therapeutic risk with empirical treatment |
| Candidozyma auris | FCZ: >90% (Clade IV) AmB: 30–60% Echinocandins: up to 5% MDR common | ERG11 mutations (F126L, Y132F, K143R) TAC1B involvement FKS1 mutations Transcription factor mutations (e.g., FLO8 homolog S108N) Biofilm formation | Independent clade emergence (I–IV) Local transmission foci Environmental persistence (marine, freshwater) Thermal adaptation hypothesis Nosocomial colonization | High mortality (30–60%) Prolonged colonization Hospital outbreaks Requires mandatory reporting & genomic surveillance One Health relevance |
| Pathogen Category | Global Annual Incidence | Mortality Rate | Primary Source/Reservoir |
| Invasive Fungal Infections | ~6.5 Million | ~58% | Multi-environmental |
| Cryptococcal Meningitis | ~194,000 | ~75% | Bird guano, Trees, Bats |
| Zoonotic Dermatophytosis | >2.1 Billion (All types) | Low (but rising resistance) | Cats, Dogs, Livestock |
| Candida auris | Rapidly Increasing | 30% – 60% | Environmental/Hospital |
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