Azole Resistance of Candida glabrata in a Case of Recurrent Fungemia
Author(s) -
Brunella Posteraro,
Mario Tumbarello,
Marilena La Sorda,
Teresa Spanu,
Enrico Maria Trecarichi,
Flavia De Bernardis,
Giancarlo Scoppettuolo,
Maurizio Sanguinetti,
Giovanni Fadda
Publication year - 2006
Publication title -
journal of clinical microbiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.349
H-Index - 255
eISSN - 1070-633X
pISSN - 0095-1137
DOI - 10.1128/jcm.00526-06
Subject(s) - fungemia , candida glabrata , microbiology and biotechnology , azole , medicine , mycosis , fungi imperfecti , biology , antifungal , immunology
We describe a case of recurrent Candida glabrata fungemia that became unresponsive to fluconazole treatment. Posttreatment isolates from blood and vaginal cultures of the immunocompetent patient were azole resistant and exhibited upregulated expression of CgCDR1/CgCDR2 efflux pumps compared to the original isolates. Amphotericin B therapy eradicated the infection.
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