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Cryptococcus gattii

 

Definition

Cryptococcus is a tiny (microscopic) yeast-like fungus. A species of this fungus, called Cryptococcus gattii, has been living on trees and in the soil on the east coast of Vancouver Island since at least 1999. More recently it has also been found in the Vancouver Coastal and Fraser Health Regions. Infrequently, people and animals (cats, dogs and llamas, as well as porpoises have occasionally become infected) exposed to this fungus will become sick with cryptococcal disease (cryptococcosis). Cryptococcosis can affect the lungs (pneumonia) and nervous system (meningitis) in humans. It affects people with healthy and weakened immune system. In rare cases, this disease can be fatal. 

Each year in B.C., about 23 people become sick from cryptococcosis. Each year, about two persons die from the disease. People over 50 years of age, those who take oral steroids, smokers, those with chronic lung disease and those with immunocompromising conditions (e.g. HIV infection, cancer, organ transplant) are at a higher risk of disease.  
 

Symptoms

Most people will be exposed to the fungus sometime during their lives and most of these will not get sick. In people who become ill, symptoms appear many months (average 7 months) after exposure.

Symptoms of cryptococcal disease include:

  • Prolonged cough (lasting weeks or months)
  • Sharp chest pain
  • Unexplained shortness of breath
  • Neck Stiffness
  • Severe headache
  • Fever
  • Night sweats
  • Weight loss

People are advised to see their doctor if they experience these symptoms.

 

Causes

The infection is caused by breathing in Cryptococcus fungus. It is not transmitted from person to person or from animal to person. A person with cryptococcosis is not contagious.  

Complications

If symptoms occur, the disease can cause pneumonia, meningitis, nodules in the lungs or brain, or skin infection.  

Tests and Diagnosis

Doctors can request tests for patients who show symptoms. Tests are not performed on people without symptoms just to see if they have been exposed.    

Treatment and Drugs

In almost all cases the disease can be treated successfully with antifungal medication. There is no vaccine to prevent cryptococcal disease.  

Distribution Map

Human and animal case distribution map

Environmental sampling map

Prevention

 

There are no particular precautions that can be taken to avoid cryptococcosis. You can, however, be alert for long lasting or severe symptoms and consult a physician (or veterinarian for animals) for early diagnosis and treatment.

Where is this fungus found?

  • Cryptococcus fungus is found naturally in the environment in B.C. and in other places around the world, in tropical and subtropical climates in countries such as Brazil and Australia. The gattii species of the fungus lives on trees and in the soil on the east coast of Vancouver Island and has occasionally been detected in the Vancouver Coastal and Fraser Health Regions.

Why did the fungus appear in B.C.?

  • It is not clear why Cryptococcus gattii appeared in B.C. It may have been imported or it may have always existed on Vancouver Island and increased in prevalence due to climate or environmental change.

How did the fungus spread to the mainland?

  • At this time we are not certain how Cryptococcus gattii spread from Vancouver Island to the mainland. It may have been transported through the air or on people, vehicles and products traveling from the Island to the mainland.

Is it safe to live on Vancouver Island or to travel there?

  • Yes. It is safe to travel to Vancouver Island. The risk of contracting the disease is very low and in almost all cases the disease can be treated. The benefits of outdoor exercise far outweigh the risks of cryptococcosis. All areas where the fungus has been found remain open to the public.


Can I tell which trees contain the fungus?

  • No, you cannot tell which trees contain the fungus by looking at them. The fungus is tiny and cannot be seen with the naked eye. The trees that have the fungus growing on them do not look diseased. The fungus can only be identified by testing tree samples in a laboratory.

Should trees in my neighborhood be tested?

  • Testing of trees and soil is being done in a number of areas on Vancouver Island and in the Vancouver Coastal and Fraser Health Regions to help determine the general distribution of the fungus. It is not possible or even useful to test trees in specific neighborhoods. The fungus could be present in an area even if some trees from that area test negative.

Is there anything I can do to protect my trees from the fungus?

  • No. There are no fungicides or other chemicals that can be applied to trees to protect them. Cutting down trees on private property is not recommended because it will not prevent your exposure to the fungus.
Last Updated: July 21, 2011