DESCRIPTIONS OF MEDICAL FUNGI

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44 Descriptions of Medical Fungi Candida inconspicua (Lodder & Kreger-van Rij) S.A. Meyer & Yarrow Candida inconspicua is a rare cause of candidaemia. RG-1 organism. Culture: Colonies (SDA) white to cream-coloured smooth, glabrous, yeast-like. Microscopy: Ovoidal budding blastoconidia, 2.0-5 x 5.0-11.0 µm. India Ink Preparation: Negative - no capsules present. Dalmau Plate Culture: Spherical to ovoid budding yeast cells only. Primitive pseudohyphae may be produced after 14 days. Physiological Tests: + Positive, - Negative, v Variable, w Weak, s Slow Germ Tube - L-Sorbose - L-Arabinose - D-Glucitol - Fermentation Sucrose - D-Arabinose - α-M-D-glucoside - Glucose - Maltose - D-Ribose - D-Gluconate - Galactose - Cellobiose - L-Rhamnose - DL-Lactate + Sucrose - Trehalose - D-Glucosamine + myo-Inositol - Maltose - Lactose - N-A-D-glucosamine + 2-K-D-gluconate - Lactose - Melibiose - Glycerol + D-Glucuronate - Trehalose - Raffinose - Erythritol - Nitrate - Assimilation Melezitose - Ribitol - Urease - Glucose + Soluble Starch - Galactitol - 0.1% Cycloheximide - Galactose - D-Xylose - D-Mannitol - Growth at 40 O C + Key Features: Germ tube negative yeast and sugar assimilation pattern and colonies are white on Candida CHROMagar. Antifungal Susceptibility: C. inconspicua limited data available (Guitard et al. 2013, and Australian National data); MIC µg/mL. No 64 AmB 16 2 2 1 1 3 6 1 FLU 16 2 4 10 VORI 13 2 4 3 2 1 1 POSA 13 2 3 5 2 1 ITRA 15 2 6 6 1 ANID 2 2 MICA 2 2 CAS 13 2 5 5 1 5FC 14 1 1 2 4 3 1 1 1
Descriptions of Medical Fungi 45 RG-1 organism. Candida parapsilosis complex Recently Candida parapsilosis has been recognised as a complex of four species: C. parapsilosis, C. orthopsilosis, C. metapsilosis and Lodderomyces elongisporus (Tavanti et al. 2005). These four species are phenotypically indistinguishable and are best identified by ITS sequencing or MALDI-T<strong>OF</strong> MS analysis. Candida metapsilosis Tavanti et al. Culture: Colonies (SDA) white to cream-coloured smooth, glabrous, yeast-like. Microscopy: Ellipsoid, subglobose to fusiform budding blastoconidia, 4 x 3-6 µm, with some larger subglobose forms present. India Ink Preparation: Negative - no capsules present. Dalmau Plate Culture: Abundant, much branched pseudohyphae produced. Physiological Tests: + Positive, - Negative, v Variable, w Weak, s Slow Germ Tube - L-Sorbose + L-Arabinose + D-Glucitol + Fermentation Sucrose + D-Arabinose - M-D-glucoside + Glucose + Maltose + D-Ribose + D-Gluconate + Galactose - Cellobiose - L-Rhamnose - DL-Lactate - Sucrose - Trehalose + D-Glucosamine - myo-Inositol - Maltose - Lactose - N-A-D-glucosamine + 2-K-D-gluconate + Lactose - Melibiose - Glycerol + D-Glucuronate - Trehalose - Raffinose - Erythritol - Nitrate - Assimilation Melezitose + Ribitol + Urease - Glucose + Soluble Starch v Galactitol - 0.1% Cycloheximide - Galactose + D-Xylose + D-Mannitol + Growth at 37 O C + Key Features: Candida metapsilosis cannot be distinguished morphologically from C. parapsilosis and C. orthopsilosis, but can be identified by ITS sequencing (Asadzadeh et al. 2009, Borman et al. 2009, Tavanti et al. 2005) and MALDI-T<strong>OF</strong> MS analysis. Antifungal Susceptibility: C. metapsilosis limited data (Diekema et al. 2009 and Australian National data); MIC µg/mL. No 64 AmB 32 1 5 12 11 2 1 FLU 32 1 19 10 2 VORI 32 1 4 22 3 2 POSA 32 1 7 16 6 1 ITRA 2 1 1 ANID 13 2 5 3 2 1 MICA 13 9 3 1 CAS 26 1 5 15 4 1 5FC 2 2 Note: Additional data for ITRA MIC range 0.06-0.5, MIC 90 = 0.25; and 5FC MIC range 0.06- 64, MIC 90 = 0.5 (Gomez-Lopez et al. 2008, Miranda-Zapico et al. 2011).
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DESCRIPTIONS OF MEDICAL FUNGI

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