1.Bioprospecting of Endophytic Fungi as Promising Anti-MRSA Agents
Yee-Min WEI ; Joo-Shun TAN ; Hock-Wei TANG ; Woei-Yenn TONG ; Chean-Ring LEONG ; Wen-Nee TAN
Natural Product Sciences 2022;28(3):93-104
Methicillin-resistant Staphylococcus aureus (MRSA) is a serious threat to the global healthcare system. Ineffective and resistance to antibiotic treatments have increased morbidity and mortality rates worldwide.New and effective antibiotics are needed to combat against bacterial resistance. Endophytic fungi are crucial reservoirs of novel bioactive metabolites. In particular, the secondary metabolites show promising therapeutic potential, notably, antibacterial. This review discussed the emerging potential of endophytic fungi as anti-MRSA agents. The ecological sources of endophytic fungi were discussed with the synthesis of bioactive metabolites.The mode of antibacterial actions was elucidated to give a better understanding of the mechanisms involved. This review may serve as an important reference for future discovery and developments of anti-MRSA agents from endophytic fungi.
2.Disseminated peritoneal leiomyomatosis: a devastating sequelae of unconfined laparoscopic morcellation.
Hwee Leong TAN ; Ye Xin KOH ; Min Hoe CHEW ; Junjie WANG ; Jason Shau Khng LIM ; Wei Qiang LEOW ; Ser Yee LEE
Singapore medical journal 2019;60(12):652-654
There has been growing concern surrounding the use of unconfined power morcellation in laparoscopic surgeries for uterine leiomyoma due to its associated risks and long-term clinical sequelae, including parasitic leiomyomas and disseminated peritoneal leiomyomatosis (DPL). We present a case of DPL resulting from previous laparoscopic morcellation and a review of the existing literature. DPL is a potentially devastating consequence of unconfined laparoscopic morcellation in the surgical management of uterine fibroids. A multidisciplinary approach is recommended in the management of DPL, especially in cases of multivisceral involvement. Clinical caution ought to be exercised when using power morcellators; when unavoidable, confined laparoscopic morcellation offers a promising mitigation and should be adopted if practicable.