Different risk factors for candidemia occur for Candida species belonging to the C. parapsilosis complex
Author(s) -
Caroline Collioni Constante,
A. Monteiro,
Sydney Hartz Alves,
Lílian Carla Carneiro,
Michel Mansur Machado,
Luiz Carlos Severo,
S. Park,
David S. Perlin,
Alessandro C. Pasqualotto
Publication year - 2014
Publication title -
medical mycology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.004
H-Index - 86
eISSN - 1460-2709
pISSN - 1369-3786
DOI - 10.1093/mmy/myt034
Subject(s) - candida parapsilosis , sensu stricto , biology , microbiology and biotechnology , fluconazole , antifungal , medicine , zoology
Previous studies have demonstrated reduced virulence in the species that comprise the Candida parapsilosis complex. We investigated a cohort of 93 patients with candidemia caused by this complex. Most infections were caused by C. parapsilosis (80.6%), followed by C. orthopsilosis (18.3%) and C. metapsilosis (1.1%). Renal failure (P < 0.001) and chronic liver diseases (P = 0.019) were more frequently encountered with infections caused by the C. orthopsilosis group, suggesting an association with patients who had a greater state of immune suppression in comparison with infections caused by C. parapsilosis sensu stricto.
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