Candida dubliniensis at a cancer center Journal Article


Authors: Sebti, A.; Kiehn, T. E.; Perlin, D.; Chaturvedi, V.; Wong, M.; Doney, A.; Park, S.; Sepkowitz, K. A.
Article Title: Candida dubliniensis at a cancer center
Abstract: Candida dubliniensis, a germ tube - positive yeast first described and identified as a cause of oral candidiasis in patients with acquired immunodeficiency syndrome in Europe in 1995, has an expanding clinical and geographic distribution that appears to be similar to that of the other germ tube-positive yeast, Candida albicans. This study determined the frequency, clinical spectrum, drug susceptibility profile, and suitable methods for identification of this emerging pathogen at a cancer center in 1998 and 1999. Twenty-two isolates were recovered from 16 patients with solid-organ or hematologic malignancies or acquired immunodeficiency syndrome. Two patients with cancer had invasive infection, and 14 were colonized with fungus or had superficial fungal infection. All isolates produced germ tubes and chlamydospores at 37°C, did not grow at 45°C, and gave negative reactions with D-xylose and α-methyl-D-glucoside in the API 20 C AUX and ID 32 C yeast identification systems. Phenotypic identification was confirmed by molecular beacon probe technology. All isolates were susceptible to the antifungal drugs amphotericin B, 5-fluorocytosine, fluconazole, itraconazole, and ketoconazole.
Keywords: adult; child; clinical article; controlled study; aged; aged, 80 and over; middle aged; nonhuman; solid tumor; cancer patient; human immunodeficiency virus infection; follow-up studies; neoplasms; phenotype; genotype; antifungal agent; cancer center; acquired immune deficiency syndrome; ketoconazole; drug sensitivity; fluconazole; candidiasis; mycosis; antifungal agents; itraconazole; hematopoietic system tumor; flucytosine; candida; minimum inhibitory concentration; fungus culture; amphotericin b; microbial sensitivity tests; candida dubliniensis; humans; human; male; female; priority journal; article
Journal Title: Clinical Infectious Diseases
Volume: 32
Issue: 7
ISSN: 1058-4838
Publisher: Oxford University Press  
Date Published: 2001-04-01
Start Page: 1034
End Page: 1038
Language: English
DOI: 10.1086/319599
PUBMED: 11264031
PROVIDER: scopus
DOI/URL:
Notes: Export Date: 21 May 2015 -- Source: Scopus
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  1. Kent A Sepkowitz
    273 Sepkowitz
  2. Abdelghani Sebti
    5 Sebti
  3. Timothy E Kiehn
    101 Kiehn
  4. May   Wong
    5 Wong