KMID : 0829320150180030094
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Korean Journal of Clinical Microbiology 2015 Volume.18 No. 3 p.94 ~ p.97
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Successful Treatment of Fungemia Caused by Cyberlindnera fabianii with Anidulafungin: A Case Report
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Lee Jeong-In
Yu Shi-Nae Park Jong-Sin Joo Eu-Jeong Shin Jong-Hee Kwon Min-Jung
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Abstract
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Cyberlindnera fabianii (previously known as Hansenula fabianii, Pichia fabianii, and Lindnera fabianii) is a yeast species that forms a biofilm, allowing it to resist azole drugs. In this study, we report a case of fungemia with C. fabianii that was successfully treated with anidulafungin. In this case, the organism was initially misidentified as Candida utilis (with a high probability of 93%, suggesting good identification) using the VITEK 2 yeast identification card (YST ID; bio-Merieux, USA). The species responsible for the patient¡¯s fungemia was correctly identified after sequencing the internally transcribed spacer region and the D1/D2 domain of the large subunit (26S) rDNA gene. The CLSI M27-A3 broth microdilution method
was used to determine the in vitro antifungal activity of anidulafungin and fluconazole against C. fabianii. The MICs of anidulafungin and fluconazole were found to be 0.03 ¥ìg/mL and 2 ¥ìg/mL, respectively. The patient recovered after 14 days of anidulafungin treatment.
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KEYWORD
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Anidulafungin, Cyberlindnera fabianii
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