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DESCRIPTIONS OF MEDICAL FUNGI

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Descriptions of Medical Fungi 41<br />

Candida glabrata complex<br />

RG-2 organism.<br />

Candida glabrata (Anderson) S.A. Meyer & Yarrow<br />

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

Microscopy: Ovoid to ellipsoidal budding blastoconidia, 3.4 x 2.0 µm in size. No<br />

pseudohyphae or chlamydospores produced.<br />

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

Dalmau Plate Culture: Ovoid budding yeast cells only. 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 v<br />

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

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

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

Trehalose v 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: Germ tube negative yeast and sugar assimilation pattern. C. glabrata<br />

is a common yeast species found on the body surface. Approximately 10% of clinical<br />

isolates show azole cross-resistance.<br />

Antifungal Susceptibility: C. glabrata complex (Australian National data); MIC<br />

µg/mL. CLSI clinical breakpoints are marked where available (Pfaller and Diekema<br />

2012).<br />

No 64<br />

AmB 999 1 1 8 25 274 339 283 63 5<br />

FLU 1000 1 1 1 8 21 60 77 316 302 213<br />

VORI 892 1 8 16 45 90 195 278 119 45 68 26 1<br />

POSA 770 3 8 15 40 115 228 231 5 125<br />

ITRA 1000 2 7 30 88 210 316 110 32 6 199<br />

ANID 629 50 215 208 134 5 2 3 10 1 1<br />

MICA 629 167 338 95 7 4 3 2 3 3 2 5<br />

CAS 779 1 34 187 292 185 58 9 3 1 9<br />

5FC 998 3 306 631 27 7 6 5 4 1 1 7

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