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Candida  spp. have emerged as successful pathogens in both invasive and mucosal infections. Varied virulence factors and growing resistance to antifungal agents have contributed to their pathogenicity. We studied diagnostic accuracy of HiCrome  Candida  Differential Agar and Vitek 2 Compact system for identification of  Candida  spp. in comparison with species-specific PCR on 110 clinical isolates of  Candida  from blood stream infections (54, 49%) and vulvovaginal candidiasis (56, 51%).  C. albicans  (61%) was the leading pathogen in VVC, while  C. tropicalis  (46%) was prominent among BSIs. HiCrome Agar and Vitek 2 Compact had good measures of agreement ( κ ) 0.826 and 0.895, respectively, in comparison with PCR. We also tested these isolates for  in vitro  production of proteinase, esterase, phospholipases, and biofilms. Proteinase production was more among invasive isolates ( P  = 0.017), while phospholipase production was more among noninvasive isolates ( P  = 0.001). There was an overall increase in the production of virulence factors among non- albicans Candida . Identification of clinical isolates of  Candida  up to species level either by chromogenic agar or by Vitek 2 Compact system should be routinely done to choose appropriate therapy.

journal of pathogens

Antifungal Susceptibility Patterns,<i>In Vitro</i>Production of Virulence Factors, and Evaluation of Diagnostic Modalities for the Speciation of Pathogenic<i>Candida</i>from Blood Stream Infections and Vulvovaginal Candidiasis

Antifungal Susceptibility Patterns,In VitroProduction of Virulence Factors, and Evaluation of Diagnostic Modalities for the Speciation of PathogenicCandidafrom Blood Stream Infections and Vulvovaginal Candidiasis