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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

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