Effect of formalin on the survival of systemic fungi in tissue

Abstract

Stock cultures of Blastomyces dermatitidis, Candida albicans, Cryptococcus neoformans, Histoplasma capsulatum and Sporothrix schenckii were grown in yeast phase on Sabouraud dextrose agar. Standardized suspensions (10(8) colony forming units/ml) were made and 1. the organisms treated for various times with 10% formalin/acetate buffer; 2. aliquots injected into the tail veins of Swiss-Webster mice. Minimal fungistatic and fungicidal concentrations of formalin were also determined. Five minutes or more of formalin treatment killed all organisms, in vitro, except C. albicans which withstood the 5-minute but not the 30-minute treatment. All fungi, except H. capsulatum which was not recovered, were cultured from mouse heart, kidneys, spleen, lungs and liver prior to but not after 5-minute formalin treatment. All yeasts were susceptible to concentrations of less than 1% formalin. These results emphasize the extreme fungicidal activity of 10% formalin and the uselessness of culturing even very briefly-fixed tissue.