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DESCRIPTIONS OF MEDICAL FUNGI

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122<br />

Descriptions of Medical Fungi<br />

Meyerozyma guilliermondii (Wick.) Kurtzman & M. Suzuki<br />

Synonymy: Candida guilliermondii (Castellani) Langeron & Guerra.<br />

Meyerozyma guilliermondii has been isolated from numerous human infections, mostly<br />

of cutaneous origin. It is also found on normal skin and in sea water, faeces of animals,<br />

fig wasps, buttermilk, leather, fish and beer. RG-1 organism.<br />

Culture: White to cream-coloured smooth, glabrous, yeast-like colonies.<br />

Microscopy: Spherical to subspherical budding yeast-like cells or blastoconidia, 2.0-<br />

4.0 x 3.0-6.5 µm.<br />

India Ink Preparation: Negative - no capsules present.<br />

Dalmau Plate Culture: Branched pseudohyphae with dense verticils of blastoconidia.<br />

Molecular Identification: ITS sequencing recommended.<br />

MALDI-T<strong>OF</strong> MS: Able to accurately identify this species.<br />

Physiological Tests: + Positive, - Negative, v Variable, w Weak, s Slow, nd No Data<br />

Germ Tube - L-Sorbose v L-Arabinose v D-Glucitol v<br />

Fermentation Sucrose + D-Arabinose v α-M-D-glucoside v<br />

Glucose + Maltose + D-Ribose + D-Gluconate v<br />

Galactose v Cellobiose v L-Rhamnose v DL-Lactate v<br />

Sucrose + Trehalose + D-Glucosamine + myo-Inositol -<br />

Maltose - Lactose - N-A-D-glucosamine + 2-K-D-gluconate +<br />

Lactose - Melibiose v Glycerol + D-Glucuronate nd<br />

Trehalose + Raffinose + Erythritol - Nitrate -<br />

Assimilation Melezitose v Ribitol + Urease -<br />

Glucose + Soluble Starch - Galactitol v 0.1% Cycloheximide v<br />

Galactose + D-Xylose + D-Mannitol v Growth at 37 O C v<br />

Key Features: Germ tube negative yeast and sugar assimilation pattern.<br />

Antifungal Susceptibility: M. guilliermondii (Diekema et al. 2009, Australian<br />

National data); MIC µg/mL. CLSI clinical breakpoints are marked where available<br />

(Pfaller and Diekema 2012).<br />

No. 64<br />

AmB 198 1 1 2 9 70 70 27 9 2 1 1 5<br />

FLU 199 1 4 5 75 75 7 11 4 7<br />

VORI 197 2 11 23 88 52 9 3 1 2 6<br />

POSA 194 1 9 14 47 79 30 4 4 6<br />

ITRA 24 6 3 12 2 1<br />

ANID 120 1 2 6 5 9 41 48 8<br />

MICA 13 3 1 4 10 14 39 29 8 1<br />

CAS 175 2 9 24 35 63 25 8 2 3 4<br />

5FC 24 8 12 1 1 1 1

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