DESCRIPTIONS OF MEDICAL FUNGI
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40<br />
Descriptions of Medical Fungi<br />
Candida glabrata complex<br />
Recently Candida glabrata has been recognised as a species complex consisting of C.<br />
glabrata, C. bracarensis (Correia et al. 2006) and C. nivariensis (Alcoba-Flórez et al.<br />
2005). These three species are phenotypically indistinguishable and are best identified<br />
by molecular methods. C. bracarensis was described based on PCR-fingerprints and<br />
sequence divergence in the D1/D2 domains (Correia et al. 2006). C. nivariensis was<br />
differentiated from other yeasts on the basis of ITS sequences (Borman et al. 2008).<br />
Candida bracarensis Correia, P. Sampaio, James & Pais<br />
RG-2 organism.<br />
Culture: Colonies (SDA) white to cream-coloured smooth, glabrous, yeast-like.<br />
Microscopy: Ellipsoidal budding blastoconidia, 3.9-6 x 2-4 µm in size. No pseudohyphae<br />
or chlamydospores produced.<br />
India Ink Preparation: Negative - no capsules present.<br />
Dalmau Plate Culture: No pseudohyphae produced.<br />
Physiological Tests: + Positive, - Negative, v Variable, w Weak, s Slow<br />
Germ Tube - L-Sorbose - L-Arabinose - D-Glucitol -<br />
Fermentation Sucrose - D-Arabinose - α-M-D-glucoside -<br />
Glucose + Maltose - D-Ribose - D-Gluconate +<br />
Galactose - Cellobiose - L-Rhamnose - DL-Lactate -<br />
Sucrose - Trehalose + D-Glucosamine - myo-Inositol -<br />
Maltose - Lactose - N-A-D-glucosamine - 2-K-D-gluconate -<br />
Lactose - Melibiose - Glycerol v D-Glucuronate -<br />
Trehalose s Raffinose - Erythritol - Nitrate -<br />
Assimilation Melezitose - Ribitol - Urease -<br />
Glucose + Soluble Starch - Galactitol - 0.1% Cycloheximide -<br />
Galactose - D-Xylose - D-Mannitol - Growth at 40 O C +<br />
Key Features: C. bracarensis has variable API 20C patterns that overlap with C.<br />
nivariensis and some C. glabrata isolates, and has variable results with a rapid trehalose<br />
assay. Note: C. glabrata produces mauve-coloured colonies on CHROMagar, whereas<br />
isolates of C. bracarensis, C. nivariensis, C. norvegensis and C. inconspicua produce<br />
white colonies on CHROMagar (Alcoba-Flórez et al. 2005, Bishop et al. 2008).<br />
Antifungal Susceptibility: C. bracarensis limited data (Australian National data);<br />
MIC µg/mL.<br />
No 64<br />
AmB 3 1 1 1<br />
FLU 3 2 1<br />
VORI 3 2 1<br />
POSA 3 2 1<br />
ITRA 3 2 1<br />
ANID 3 1 2<br />
MICA 3 1 2<br />
CAS 3 2 1<br />
5FC 3 1 1 1