DESCRIPTIONS OF MEDICAL FUNGI
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48<br />
Descriptions of Medical Fungi<br />
Candida parapsilosis complex<br />
Lodderomyces elongisporus (Recca & Mrak) van der Walt<br />
Lodderomyces elongisporus has been isolated from soft drinks and juice concentrates,<br />
natural fermentations of cocoa, soil, an infected fingernail, human blood infections and<br />
from baby cream. Initially isolates appeared to be atypical forms of C. parapsilosis,<br />
but sequence analysis identified them as L. elongisporus. In view of these findings,<br />
L. elongisporus may be more common among clinical isolates than initially thought<br />
(Lockhart et al. 2008a, Kurtzman).<br />
RG-1 organism.<br />
Culture: Colonies (SDA) white to cream-coloured smooth, glabrous, yeast-like.<br />
Microscopy: Ellipsoid to elongate budding blastoconidia, 2.6-6.3 x 4-7.4 µm, with<br />
occasional spherical forms present.<br />
India Ink Preparation: Negative - no capsules present.<br />
Dalmau Plate Culture: Abundant, much-branched pseudohyphae produced.<br />
Ascospore Formation: Asci are unconjugated, persistent, and are transformed from<br />
budding cells. Each ascus forms one, rarely two, long-ellipsoid ascospores. Ascospores<br />
observed on V8 agar after 7-10 days at 25 O C.<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 +,w<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 + D-Glucuronate -<br />
Trehalose + Raffinose - Erythritol - Nitrate -<br />
Assimilation Melezitose + Ribitol + Urease -<br />
Glucose + Soluble Starch - Galactitol - 0.1% Cycloheximide -<br />
Galactose + D-Xylose +,w D-Mannitol + Growth at 37 O C +<br />
Key Features: In the absence of ascospores, L. elongisporus cannot be distinguished<br />
physiologically from C. parapsilosis, C. orthopsilosis and C. metapsilosis but can be<br />
identified based on ITS sequencing (Asadzadeh et al. 2009, Borman et al. 2009,<br />
Tavanti et al. 2005) and MALDI-T<strong>OF</strong> MS analysis.