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of the most significant invasive fungi in deep surgical
procedures, and the survival rate can be as low as
30%. Many other fungi that can grow at 37°C have
spores that are small enough to enter the lungs and
reach the alveoli. These fungi were virtually unknown
until recently but are now extremely common causes
of infection in immunodeficient patients. For example,
the fungus-like organism Pneumocystis jiroveci (previously
named P. carinii) commonly causes pneumonia in
patients infected with the human immunodeficiency
virus (HIV). The onset of this disease in patients
with HIV is regarded as one of the “AIDS-defining”
symptoms.
Only a handful of antifungal drugs are available to
treat the major human mycoses, and most need to be
administered at low doses over a prolonged time to
avoid excessive toxicity. Many of these drugs are
expensive so they offer little hope to the poorest people
in the developing world. Chapter 16 is devoted to
the mycoses of humans, and Chapter 17 deals with the
drugs available to treat these conditions.

Fungal parasites as biological control
agents

Fungi parasitize many types of host, including
other fungi (mycoparasites, Chapter 12), insects
(entomopathogens, Chapter 15), and nematodes
(nematophagous fungi, Chapter 15). In the past,
such fungi might have been regarded as curiosities, but
now they are recognized as being significant popula-
tion regulators of their hosts and as potential biolo-
gical control (biocontrol) agentsof major pests or
plant pathogens. We discuss biocontrol at many
points in this book, notably in Chapters 12 and 17.

Fungal saprotrophs

Saprotrophs (saprophytes) are organisms that feed on
dead organic matter (sapros=death; trophy=feeding).
Fungi play a major role in this respect because they

8 CHAPTER 1

Fig. 1.5A sign in Arches National Park, Utah, USA. Get your boots off our microbes!

FB4eC01 04/12/2005 12:26PM Page 8

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