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DESCRIPTIONS OF MEDICAL FUNGI

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Descriptions of Medical Fungi 229<br />

Wickerhamomyces anomalus (E.C. Hansen) Kurtzman et al.<br />

Synonymy: Candida pelliculosa Redaelli.<br />

Wickerhamomyces anomalus has been reported from cases of candidaemia and<br />

catheter related infections in humans and has been isolated from soil, grains, fruit and<br />

warm-blooded animals.<br />

RG-1 organism.<br />

Culture: Colonies (SDA) white to cream-coloured smooth, glabrous, yeast-like.<br />

Microscopy: Spherical to ellipsoidal budding blastoconidia, 2-4 x 2-6 µm. Pseudohyphae<br />

may be present. Asci when present, containing one to four hat-shaped ascospores.<br />

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

Dalmau Plate Culture: Spherical to ellipsoidal budding yeast cells and abundant<br />

pseudohyphae in most strains.<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 - L-Arabinose v D-Glucitol +<br />

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

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

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

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

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

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

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

Assimilation Melezitose + Ribitol v Urease -<br />

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

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

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

Antifungal Susceptibility: W. anomalus (Diekema et al. 2009, Australian National<br />

data); MIC µg/mL.<br />

No. 64<br />

AmB 42 1 5 14 21 2<br />

FLU 43 2 8 25 8<br />

VORI 42 1 2 1 22 13 3<br />

POSA 42 1 1 7 4 15 12 2<br />

ITRA 3 3<br />

ANID 16 2 10 3 1<br />

MICA 16 5 9 2<br />

CAS 39 1 16 17 4 1<br />

5FC 3 1 2

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