Evidence map›Paper›PMID 42286965›Full record

ArticleTransboundary and emerging diseases2026

First Report of Human Infection Caused by Aspergillus steynii and Analysis of Its Whole-Genome Characteristics.

Ruixuan Wang, Jingjing Chen, Na Wu, Min Yang, Ruiying Quan, Nan Xia, Hailong Li, Hua Nian, Ning Jiang, Yunzhuo Chu and 2 more

Abstract readCase Reports
In one paragraph

Article in Transboundary and emerging diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

1 citing paper in PubMed.

  1. Article
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

12 authors.

Ruixuan WangNational Clinical Research Center for Medical Auxiliary Technology (Laboratory Medicine), Department of Laboratory Medicine, The First Hospital of China Medical University, Shenyang, China, cmu.edu.cn.ORCID https://orcid.org/0000-0003-0913-5799
Jingjing ChenNational Clinical Research Center for Medical Auxiliary Technology (Laboratory Medicine), Department of Laboratory Medicine, The First Hospital of China Medical University, Shenyang, China, cmu.edu.cn.ORCID https://orcid.org/0009-0002-9942-3531
Na WuDepartment of Infectious Diseases, The First Hospital of China Medical University, Shenyang, China, cmu.edu.cn.ORCID https://orcid.org/0009-0008-7635-4565
Min YangNational Clinical Research Center for Medical Auxiliary Technology (Laboratory Medicine), Department of Laboratory Medicine, The First Hospital of China Medical University, Shenyang, China, cmu.edu.cn.ORCID https://orcid.org/0000-0001-7734-8281
Ruiying QuanChina Medical University-The Queen's University of Belfast Joint College, China Medical University, Shenyang, China, cmu.edu.cn.ORCID https://orcid.org/0009-0004-8882-2611
Nan XiaNational Clinical Research Center for Medical Auxiliary Technology (Laboratory Medicine), Department of Laboratory Medicine, The First Hospital of China Medical University, Shenyang, China, cmu.edu.cn.ORCID https://orcid.org/0009-0000-6595-2238
Hailong LiNHC Key Laboratory of AIDS Prevention and Treatment, The First Hospital of China Medical University, Shenyang, China, cmu.edu.cn.ORCID https://orcid.org/0000-0003-0292-6774
Hua NianNational Clinical Research Center for Medical Auxiliary Technology (Laboratory Medicine), Department of Laboratory Medicine, The First Hospital of China Medical University, Shenyang, China, cmu.edu.cn.ORCID https://orcid.org/0000-0002-1915-4515
Ning JiangNational Clinical Research Center for Medical Auxiliary Technology (Laboratory Medicine), Department of Laboratory Medicine, The First Hospital of China Medical University, Shenyang, China, cmu.edu.cn.ORCID https://orcid.org/0009-0007-2917-1021
Yunzhuo ChuNational Clinical Research Center for Medical Auxiliary Technology (Laboratory Medicine), Department of Laboratory Medicine, The First Hospital of China Medical University, Shenyang, China, cmu.edu.cn.ORCID https://orcid.org/0000-0001-9562-2053
Shitong ChengNational Clinical Research Center for Medical Auxiliary Technology (Laboratory Medicine), Department of Laboratory Medicine, The First Hospital of China Medical University, Shenyang, China, cmu.edu.cn.ORCID https://orcid.org/0000-0001-9260-4669
Sufei TianNational Clinical Research Center for Medical Auxiliary Technology (Laboratory Medicine), Department of Laboratory Medicine, The First Hospital of China Medical University, Shenyang, China, cmu.edu.cn.ORCID https://orcid.org/0000-0002-2068-8004

Funding

National Key Research and Development Program of China 2021YFC2300400National Natural Science Foundation of China 82202547Noncommunicable Chronic Diseases-National Science and Technology Major Project 2024ZD0533100Noncommunicable Chronic Diseases-National Science and Technology Major Project 2024ZD0533106
6 · The paper itself

Abstract

The incidence of infections caused by rare pathogens has increased in recent years. This necessitates the development of effective diagnostic and therapeutic approaches. In this study, we report the first documented case of Aspergillus steynii-induced pulmonary infection in humans. We evaluated the morphological and molecular characteristics of this fungus to elucidate its role in human infections. A 47-year-old woman with immunosuppression after bone marrow transplantation developed symptoms of pulmonary infection. The pathogen was identified as A. steynii through culture techniques, microscopy, mass spectrometry, multigene molecular identification, and whole-genome sequencing. Antifungal susceptibility testing was performed, and comparative genomic analysis was conducted to assess the phylogenetic relationship and genomic characteristics of A. steynii and other pathogenic Aspergillus species. Genomic analysis revealed a high degree of similarity with other pathogenic Aspergillus species. Furthermore, we identified 470 unique gene families primarily associated with ABC transporter pathways linked to multidrug resistance. The strain was sensitive to triazoles and echinocandins but exhibited elevated minimum inhibitory concentrations (MICs) for amphotericin B, flucytosine, and fluconazole. In addition, multiple potential drug resistance genes were identified, indicating the potential for multidrug resistance. The emergence of A. steynii in humans poses new clinical challenges and risks, including cross-species transmission and multidrug resistance. The potential for A. steynii infections, particularly in immunosuppressed patients, highlights the importance of early diagnosis and timely intervention to reduce the risk of misdiagnosis or delayed treatment. Thus, our findings have the potential to improve the clinical and differential diagnosis of this infection and facilitate the development of effective therapeutic approaches.

Indexed as

AspergillosisAspergillusGenome, FungalAntifungal AgentsFemaleHumansMiddle AgedPhylogenyWhole Genome SequencingAntifungal AgentsAspergillus steyniiimmunosuppressionmultidrug resistancepulmonary infectionwhole-genome sequencing

Identifiers

PMID42286965
PMCPMC13263534

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Registered trials

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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 OpenQuestion graph.