Article
Rapid induction of multiple resistance mechanisms in Aspergillus fumigatus during azole therapy: a case study and review of the literature.
Antimicrobial agents and chemotherapy - 1 Jan 2012
Camps Simone M T, van der Linden Jan W M, Li Yi, Kuijper Ed J, van Dissel Jaap T, Verweij Paul E, Melchers Willem J G
Abstract excerpt
Nine consecutive isogenic Aspergillus fumigatus isolates cultured from a patient with aspergilloma were investigated for azole resistance. The first cultured isolate showed a wild-type phenotype, but four azole-resistant phenotypes were observed in the subsequent eight isolates. Four mutations were found in the cyp51A gene of these isolates, leading to the substitutions A9T, G54E, P216L, and F219I. Only G54...
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