HAMAL, Petr, Jiří OSTRANSKY, Miloš DENDIS, Radek HORVÁTH, Filip RŮŽIČKA, Vladimír BUCHTA, Marcela VEJŠOVÁ, Pavel SAUER, Petr HEJNAR and Vladislav RACLAVSKÝ. A case of endocarditis caused by the yeast Pichia fabianii with biofilm production and developed in vitro resistance to azoles in the course of antifungal treatment. Medical Mycology. Oxford, U.K.: Blackwell Science, 2008, vol. 46, No 6, p. 601-605. ISSN 1369-3786.
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Basic information
Original name A case of endocarditis caused by the yeast Pichia fabianii with biofilm production and developed in vitro resistance to azoles in the course of antifungal treatment
Name in Czech Endokarditida způsobená biofilmpozitivní kvasinkou Pichia fabianii a vznik resistence k azolům v průběhu terapie
Authors HAMAL, Petr (203 Czech Republic), Jiří OSTRANSKY (203 Czech Republic), Miloš DENDIS (203 Czech Republic), Radek HORVÁTH (203 Czech Republic), Filip RŮŽIČKA (203 Czech Republic, guarantor), Vladimír BUCHTA (203 Czech Republic), Marcela VEJŠOVÁ (203 Czech Republic), Pavel SAUER (203 Czech Republic), Petr HEJNAR (203 Czech Republic) and Vladislav RACLAVSKÝ (203 Czech Republic).
Edition Medical Mycology, Oxford, U.K. Blackwell Science, 2008, 1369-3786.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 10600 1.6 Biological sciences
Country of publisher United Kingdom of Great Britain and Northern Ireland
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 2.156
RIV identification code RIV/00216224:14110/08:00035771
Organization unit Faculty of Medicine
UT WoS 000258979200011
Keywords in English INFECTIVE ENDOCARDITIS; HANSENULA-ANOMALA; CROSS-RESISTANCE; CANDIDA; IDENTIFICATION; FUNGEMIA; THERAPY; VORICONAZOLE; CASPOFUNGIN; DIAGNOSIS
Tags CANDIDA, CASPOFUNGIN, CROSS-RESISTANCE, diagnosis, FUNGEMIA, HANSENULA-ANOMALA, identification, INFECTIVE ENDOCARDITIS, THERAPY, VORICONAZOLE
Tags International impact, Reviewed
Changed by Changed by: prof. MUDr. Filip Růžička, Ph.D., učo 1100. Changed: 25/6/2009 10:13.
Abstract
Pichia fabianii, a yeast rarely causing human infections, was isolated from the blood of a patient with aortic valve endocarditis. The isolates were initially identified biochemically as Candida pelliculosa, but based on direct sequencing of the ITS2 region of rRNA, they were subsequently reidentified as P. fabianii. Antifungal therapy with fluconazole and later with voriconazole led to the development of resistant variants which had high MIC values to both antifungals. Strong biofilm formation by this yeast could also have played a role in the development of its resistance and allowed for its persistence on the infected valve during antifungal therapy. To our knowledge, this is the first published case of endocarditis and the fourth human infection caused by this yeast species.
Abstract (in Czech)
Kvasinka Pichia fabianii, která se vyskytuje jako původce humánních infekcí velmi zřídka, byla izolována z krve pacienta s endokarditidou aortální chlopně. Izolát by původně pomocí biochemických metodidentifikován jako Candida pelliculosa. Později byla kvasinka reidentifikována pomocí sekvenace ITS2 regionu rRNA jako P. fabianii. Antifungální terapie flukonazolem a později i vorikonazolem vedla k rozvoji rezistence k těmto azolovým antimykotikům. V rozvoji rezistence hrála pravděpodobně významnou roli schopnost této kvasinky růst ve formě biofilmu. Tvorba biofilmu také umožnila této kvasince kolonizovat chlopeň a vytvořit zde ložisko, které bylo schopno odolat antifungální terapii.
Links
NR8365, research and development projectName: Druhová identifikace patogenních kvasinek založená na analýze teploty tání produktů fingerprintingu
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