Itraconazole-resistant Candida auris with phospholipase, proteinase and hemolysin activity from a case of vulvovaginitis

Since the emergence of pathogenic non-albicans Candida species, a number of new isolates have been added to the list. One such unusual species is Candida auris (C. auris), recently isolated and studied in few reports. In this study, a case of vulvovaginitis caused by Candida auris incidentally ident...

Full description

Saved in:
Bibliographic Details
Main Authors: Dharmendra Kumar, Tuhina Banerjee, Chandra Bhan Pratap, Ragini Tilak
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2015-04-01
Series:Journal of Infection in Developing Countries
Subjects:
Online Access:https://jidc.org/index.php/journal/article/view/4582
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849324329515352064
author Dharmendra Kumar
Tuhina Banerjee
Chandra Bhan Pratap
Ragini Tilak
author_facet Dharmendra Kumar
Tuhina Banerjee
Chandra Bhan Pratap
Ragini Tilak
author_sort Dharmendra Kumar
collection DOAJ
description Since the emergence of pathogenic non-albicans Candida species, a number of new isolates have been added to the list. One such unusual species is Candida auris (C. auris), recently isolated and studied in few reports. In this study, a case of vulvovaginitis caused by Candida auris incidentally identified by molecular methods using internal transcribed spacer polymerase chain reaction (ITS PCR) is described. Antifungal susceptibility testing revealed the isolate to be resistant to itraconazole (MIC ≥ 2 µg/ml) and expressed important virulence factors including phospholipase, proteinase and hemolysin activity. The patient was successfully treated with oral fluconazole and did not have any invasive fungemia. Very few cases of this emerging pathogen have been reported. However, its isolation from clinical specimens reveals the significance of non-albicans candida species over C. albicans and the diversity of Candida spp causing infections.
format Article
id doaj-art-6fb1ee73cb3c41edb3c36c1bc6994b03
institution Kabale University
issn 1972-2680
language English
publishDate 2015-04-01
publisher The Journal of Infection in Developing Countries
record_format Article
series Journal of Infection in Developing Countries
spelling doaj-art-6fb1ee73cb3c41edb3c36c1bc6994b032025-08-20T03:48:46ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802015-04-0190410.3855/jidc.4582Itraconazole-resistant Candida auris with phospholipase, proteinase and hemolysin activity from a case of vulvovaginitisDharmendra Kumar0Tuhina Banerjee1Chandra Bhan Pratap2Ragini Tilak3Institute of Medical Sciences, Banaras Hindu University, Varanasi, IndiaInstitute of Medical Sciences, Banaras Hindu University, Varanasi, IndiaInstitute of Medical Sciences, Banaras Hindu University, Varanasi, IndiaInstitute of Medical Sciences, Banaras Hindu University, Varanasi, IndiaSince the emergence of pathogenic non-albicans Candida species, a number of new isolates have been added to the list. One such unusual species is Candida auris (C. auris), recently isolated and studied in few reports. In this study, a case of vulvovaginitis caused by Candida auris incidentally identified by molecular methods using internal transcribed spacer polymerase chain reaction (ITS PCR) is described. Antifungal susceptibility testing revealed the isolate to be resistant to itraconazole (MIC ≥ 2 µg/ml) and expressed important virulence factors including phospholipase, proteinase and hemolysin activity. The patient was successfully treated with oral fluconazole and did not have any invasive fungemia. Very few cases of this emerging pathogen have been reported. However, its isolation from clinical specimens reveals the significance of non-albicans candida species over C. albicans and the diversity of Candida spp causing infections. https://jidc.org/index.php/journal/article/view/4582C. aurisnon-albicansresistancephospholipase
spellingShingle Dharmendra Kumar
Tuhina Banerjee
Chandra Bhan Pratap
Ragini Tilak
Itraconazole-resistant Candida auris with phospholipase, proteinase and hemolysin activity from a case of vulvovaginitis
Journal of Infection in Developing Countries
C. auris
non-albicans
resistance
phospholipase
title Itraconazole-resistant Candida auris with phospholipase, proteinase and hemolysin activity from a case of vulvovaginitis
title_full Itraconazole-resistant Candida auris with phospholipase, proteinase and hemolysin activity from a case of vulvovaginitis
title_fullStr Itraconazole-resistant Candida auris with phospholipase, proteinase and hemolysin activity from a case of vulvovaginitis
title_full_unstemmed Itraconazole-resistant Candida auris with phospholipase, proteinase and hemolysin activity from a case of vulvovaginitis
title_short Itraconazole-resistant Candida auris with phospholipase, proteinase and hemolysin activity from a case of vulvovaginitis
title_sort itraconazole resistant candida auris with phospholipase proteinase and hemolysin activity from a case of vulvovaginitis
topic C. auris
non-albicans
resistance
phospholipase
url https://jidc.org/index.php/journal/article/view/4582
work_keys_str_mv AT dharmendrakumar itraconazoleresistantcandidaauriswithphospholipaseproteinaseandhemolysinactivityfromacaseofvulvovaginitis
AT tuhinabanerjee itraconazoleresistantcandidaauriswithphospholipaseproteinaseandhemolysinactivityfromacaseofvulvovaginitis
AT chandrabhanpratap itraconazoleresistantcandidaauriswithphospholipaseproteinaseandhemolysinactivityfromacaseofvulvovaginitis
AT raginitilak itraconazoleresistantcandidaauriswithphospholipaseproteinaseandhemolysinactivityfromacaseofvulvovaginitis