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DESCRIPTIONS OF MEDICAL FUNGI

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Descriptions of Medical Fungi 79<br />

Cyberlindnera fabianii (Wick.) Minter<br />

Synonymy: Candida fabianii (Hartmann) S.A. Meyer & Yarrow.<br />

Cyberlindnera fabianii is a rare cause of candidaemia.<br />

RG-1 organism.<br />

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

Microscopy: Spheroidal to ellipsoidal budding blastoconidia, 3.0-6.5 x 2-5.5 µm in<br />

size. No pseudohyphae are produced. Asci when present, are spherical, containing<br />

one to four spherical, finely roughened ascospores.<br />

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

Dalmau Plate Culture: Spherical to ovoid budding yeast cells and occasional<br />

pseudohyphae produced.<br />

Molecular Identification: ITS sequencing recommended.<br />

MALDI-T<strong>OF</strong> MS: Able to accurately identify this species.<br />

Physiological Tests: + Positive, - Negative, v Variable, w Weak, s Slow, nd No Data<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 +,s Lactose - N-A-D-glucosamine - 2-K-D-gluconate -<br />

Lactose - Melibiose - Glycerol + D-Glucuronate nd<br />

Trehalose - Raffinose + Erythritol - Nitrate +<br />

Assimilation Melezitose + Ribitol - Urease -<br />

Glucose + Soluble Starch + Galactitol - 0.1% Cycloheximide nd<br />

Galactose - D-Xylose + D-Mannitol + Growth at 37 O C +<br />

Key Features: Germ tube negative yeast and sugar assimilation pattern. Molecular<br />

identification may be required.<br />

Antifungal Susceptibility: C. fabianii very limited data (Pfaller et al. 2015, Australian<br />

National data); MIC µg/mL.<br />

No. 64<br />

AmB 1 1<br />

FLU 1 1<br />

VORI 5 1 3 1<br />

POSA 5 3 2<br />

ITRA 1 1<br />

MICA 4 2 1 1<br />

CAS 1 1<br />

5FC 1 1

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