Volume 23, Number 2—February 2017
CME ACTIVITY - Research
Multidrug-Resistant Candida haemulonii and C. auris, Tel Aviv, Israel
Table 1
Characteristics of 9 patients with Candida isolates available for microbiological analyses, Tel Aviv, Israel*
Isolate ID | GenBank accession nos. |
DNA sequence analysis | Patient age, y/sex | Hospital/unit | Date | Comorbidities | Culture source | Clinical significance | Treatment | In-hospital outcome | |
---|---|---|---|---|---|---|---|---|---|---|---|
ITS | LSU | ||||||||||
TA001-14 | KU896955 | KU886685 | C. haemulonii | 52/M | TASMC/vascular clinic | 2014 Jun | CIDP, steroids, CLU | Wound | Colonization | None | Survival |
TA001-15 | KU896954 | KU886684 | C. haemulonii | 79/M | TASMC/vascular clinic | 2015 Apr | PVD, CKD, DMt2, IHD, pacemaker, CLU | Wound | Colonization | None | Survival |
TA004-15 | KU896956 | KU896947 | C. haemulonii | 69/M | TASMC/vascular surgery | 2015 Jun | PVD, DMt2, IHD, CLU | Wound | Colonization | None | Survival |
TA003-14 | KU896949 | KU886679 | C. auris | 91/F | TASMC/medicine | 2014 May | ANCA vasculitis, M-vent, VAP, steroids, CVC | Blood | CRBSI | Fluconazole | Death |
TA002-14 | KX518348 | KU886682 | C. auris | 79/M | TASMC/neurosurgery | 2014 Oct | MDS, ASDH, M-vent, VAP; CVC | Blood | CRBSI | CVC removed; none | Death |
TA004-14 | KU896950 | KU886680 | C. auris | 74/M | TASMC/medicine | 2014 Aug | CKD, hemodialysis, CVC, pacemaker, IHD, DMt2 | Blood | CRBSI | CVC removed; anidulafungin | Survival |
TA005-14 | KU896951 | KU886681 | C. auris | 57/F | TASMC/medicine | 2014 May | PBC | Blood | Primary candidemia | Fluconazole; anidulafungin | Survival |
TA003-15 | KU896953 | KU886683 | C. auris | 42/M | WMC/medicine | 2015 Apr | IVDU, HIV, HBV, HCV, MRSA sepsis | Blood | Primary candidemia | Fluconazole; voriconazole | Survival |
TA002-15 | KU896948 | KU886678 | C. auris | 79/M | TASMC/medicine | 2015 Apr | CKD, DMt2, IHD, PICC | Urine | Asymptomatic candiduria | None | Survival |
*CIDP, chronic inflammatory demyelinating polyneuropathy; CKD, chronic kidney disease; CLU, chronic leg ulcers; CRBSI, catheter-related bloodstream infection; CVC, central venous catheter; DMt2, diabetes mellitus type 2; HBV, hepatitis B virus infection; HCV, hepatitis C virus infection; IHD, ischemic heart disease; ITS, internal transcribed spacer; IVDU, intravenous drug user; LSU, large subunit; MRSA, multidrug-resistant Staphylococcus aureus; M-vent, mechanical ventilation; PBC, primary biliary cirrhosis; PICC, peripherally inserted central catheter; PVD, peripheral vascular disease; TASMC, Tel Aviv Sourasky Medical Center; VAP, ventilator-associated pneumonia; WMC, Wolfson Medical Center.