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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.

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