Article
Rapid emergence of echinocandin resistance in Candida glabrata resulting in clinical and microbiologic failure.
Antimicrobial agents and chemotherapy - 1 Sept 2013
Lewis James S, Wiederhold Nathan P, Wickes Brian L, Patterson Thomas F, Jorgensen James H
Abstract excerpt
We report a case of Candida glabrata candidemia that developed resistance to micafungin within 8 days of initiation of therapy in a patient without previous echinocandin exposure or other known risk factors for clinical or microbiological failure. Pre- and postresistant isolates were confirmed to be isogenic, and sequencing of hot spots known to confer echinocandin resistance revealed a phenylalanine deletion at...
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