Development of caspofungin resistance following prolonged therapy for invasive candidiasis secondary to Candida glabrata infection

被引:121
作者
Thompson, George R., III [1 ]
Wiederhold, Nathan P. [1 ,3 ,4 ]
Vallor, Ana C. [1 ]
Villareal, Nyria C. [1 ]
Lewis, James S., II [1 ,2 ]
Patterson, Thomas F. [1 ]
机构
[1] Univ Texas Hlth Sci Ctr San Antonio, Dept Internal Med, Div Infect Dis, San Antonio, TX 78229 USA
[2] Univ Hlth Syst, Dept Pharm, San Antonio, TX 78229 USA
[3] Univ Texas Austin, Coll Pharm, Austin, TX 78712 USA
[4] Univ Texas Hlth Sci Ctr San Antonio, Pharmacotherapy Educ & Res Ctr, San Antonio, TX 78299 USA
关键词
D O I
10.1128/AAC.00473-08
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
We report a case of Candida glabrata invasive candidiasis that developed reduced susceptibility to caspofungin during prolonged therapy. Pre- and posttreatment isolates were confirmed to be isogenic, and sequencing of hot spots known to confer echinocandin resistance revealed an F659V substitution within the FKS2 region of the glucan synthase complex.
引用
收藏
页码:3783 / 3785
页数:3
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