Loss of in vitro resistance in Candida glabrata following discontinuation of fluconazole prophylaxis in a hematopoietic stem cell transplantation patient

Steven D. Westbrook, Nathan P. Wiederhold, Ana C. Vallor, Susann Kotara, Stella Bernardo, Samuel A. Lee, William R. Kirkpatrick, Juan J. Toro, Cesaro Freytes, Thomas F. Patterson, Spencer W. Redding

Resultado de la investigación: Articlerevisión exhaustiva

3 Citas (Scopus)

Resumen

We report a case of fluconazole-resistant oropharyngeal colonization caused by a strain of Candida glabrata that rapidly regained susceptibility once prophylaxis with this agent was discontinued and echinocandin therapy was initiated. Isolates collected before and after discontinuation of fluconazole were confirmed to be isogenic by RAPD analysis. Transcription analysis demonstrated constitutive expression of genes encoding efflux pumps in the isolate recovered on fluconazole prophylaxis and transient expression in those isolates collected after fluconazole was discontinued.

Idioma originalEnglish (US)
Páginas (desde-hasta)557-560
Número de páginas4
PublicaciónMedical mycology
Volumen48
N.º3
DOI
EstadoPublished - 2010

ASJC Scopus subject areas

  • Infectious Diseases

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