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Malassezia  spp. are a group of lipid-dependent basidiomycetes yeasts acting as commensal organisms of the human and animal skin. However, under some not well-defined circumstances, these yeasts may switch to opportunistic pathogens triggering a number of skin disorders with different clinical presentations. The genus comprises of 18 lipid-dependent species with a variable distribution in the hosts and pathologies thus suggesting a host- and microbe-specific interactions. This review highlighted and discussed the most recent literature regarding the genus  Malassezia  as a commensal or pathogenic organisms highlighting  Malassezi a-associated skin disorders in humans and animals and their antifungal susceptibility profile. A literature search of  Malassezia  associated skin disorders was performed via PubMed and Google scholar (up to May 2023), using the different keywords mainly associated with  Malassezia  skin disorders and Malassezia antifungal resistance. Malassezia  yeasts are part of the skin mycobiota and their life cycle is strictly associated with the environment in which they live. The biochemical, physiological, or immunological condition of the host skin selects  Malassezia  spp. or genotypes able to survive in a specific environment by changing their metabolisms, thus producing virulence factors or metabolites which can cause skin disorders with different clinical presentations.

expert review of anti-infective therapy

Part 1: Understanding the role of  Malassezia  spp. in skin disorders:  Malassezia  yeasts as commensal or pathogenic organisms of human and animal skin