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Volume 32, Number 6—June 2026

Research

Outbreak of Wickerhamomyces anomalus (formerly Candida pelliculosa) Bloodstream Infections, Venezuela, 2022–20231

Maribel Dolande-Franco2, Diego H. Caceres2Comments to Author , Juan F. Frey-Carrillo, Antoniellys Pérez-Guzmán, Andres Ceballos-Garzon, Aleiram Chaurio-Briceño, Bram Spruijtenburg, Yusely Roa-Díaz, Eelco F.J. Meijer, Elaine Cristina Francisco, Rodrigo Oliveira, Tatiana Drummond-Suinaga, and Jacques F. Meis
Author affiliation: Instituto Nacional de Higiene “Rafael Rangel,” Caracas, Venezuela (M. Dolande-Franco, J.F. Frey-Carrillo, A. Chaurio-Briceño); Immuno-Mycologics, Norman, Oklahoma, USA (D.H. Caceres); Universidad del Rosario, Bogota, Colombia (D.H. Caceres, A. Ceballos-Garzon); Radboudumc-CWZ Center of Expertise for Mycology, Nijmegen, the Netherlands (D.H. Caceres, B. Spruijtenburg, E.F.J. Meijer, J.F. Meis); Hospital Universitario de Caracas, Caracas (A. Pérez-Guzmán, Y. Roa-Díaz, T. Drummond-Suinaga); Canisius-Wilhelmina Hospital/Dicoon, Nijmegen (B. Spruijtenburg, E.F.J. Meijer); Universidade Federal de São Paulo, São Paulo, Brazil (E.C. Francisco); Antimicrobial Resistance Institute of São Paulo, São Paulo (E.C. Francisco); Universidade Federal do Paraná, Curitiba, Brazil (E.C. Francisco); Bruker Daltonics GmbH & Co., Bremen, Germany (R. Oliveira); University of Cologne, Cologne, Germany (J.F. Meis)

Main Article

Table

In vitro antifungal susceptibility testing metrics of 99 Wickerhamomyces anomalus isolates in study of outbreak of W. anomalus (formerly Candida pelliculosa) bloodstream infections, Venezuela, 2022–2023*

Antifungal Range Geometric mean MIC50 MIC90
Amphotericin B 0.063–0.25 0.077 0.063 0.125
Fluconazole 1–8 1.99 2 2
Itraconazole 0.031–0.25 0.068 0.063 0.125
Voriconazole 0.031–0.25 0.064 0.063 0.125
Posaconazole 0.031–0.25 0.059 0.063 0.063
Isavuconazole 0.016–0.125 0.029 0.031 0.063
Anidulafungin ≤0.008–0.031 0.01 ≤0.008 0.016
Micafungin ≤0.008–0.063 0.012 ≤0.008 0.031

*Values are µg/mL. In vitro antifungal susceptibility testing was conducted using the Clinical and Laboratory Standards Institute M27 broth microdilution (17). MIC50, MIC that inhibits 50% of isolates; MIC90, MIC that inhibits 90% of isolates.

Main Article

References
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Main Article

1Preliminary results from this study were presented at the 22nd INFOCUS Conference; November 20–23, 2024; Bogota, Colombia.

2These authors share first authorship of this article.

Page created: April 17, 2026
Page updated: May 26, 2026
Page reviewed: May 26, 2026
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