TY - CHAP M1 - Book, Section TI - Chapter 301. Malassezia Furfur A1 - Powell, Dwight A. A2 - Rudolph, Colin D. A2 - Rudolph, Abraham M. A2 - Lister, George E. A2 - First, Lewis R. A2 - Gershon, Anne A. PY - 2011 T2 - Rudolph's Pediatrics, 22e AB - The genus Malassezia includes 11 species associated with significant human disease1(eTable 301.1). The organisms are dimorphic with both yeast and mycelial growth. With the exception of M pachydermatis, all other Malassezia species require lipid supplementation of standard fungal growth media for isolation. When Sabouraud media is overlaid with sterile olive oil, Malassezia species grow within 5 to 14 days.2 Isolation on this medium causes colonies to coalesce, making species identification difficult. Although species identification is rarely important in clinical practice, several commercial media avoid this problem. Dixon medium (containing Tween 40 and glycerol monooleate) and Leeming and Notman agar (containing Tween 60, glycerol, and full-fat cow milk) are selective media for Malassezia isolation. Rapid identification techniques, such as identification of Malassezia DNA by polymerase chain reaction, have been utilized in study settings.3 Malassezia species are normal residents of human skin, usually found in sebum-rich areas such as the trunk, face, and scalp. Extensive studies on skin colonization have shown that the skin of healthy newborn infants becomes colonized with Malassezia species within the first several months of life. Over 50% of prematurely born infants requiring prolonged hospitalization become colonized within 2 weeks of life.4,5 Ninety to 100% of adolescents and adults have saprophytic skin colonization with Malassezia species.6 SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/20 UR - accesspediatrics.mhmedical.com/content.aspx?aid=7029066 ER -