Article
Breakthrough candidemia due to multidrug-resistant Candida glabrata during prophylaxis with a low dose of micafungin.
Antimicrobial agents and chemotherapy - 1 Jan 2014
Bizerra Fernando César, Jimenez-Ortigosa Cristina, Souza Ana Carolina R, Breda Giovanni Luis, Queiroz-Telles Flávio, Perlin David S, Colombo Arnaldo L
Abstract excerpt
We identified a case of breakthrough candidemia in a 25-year-old patient receiving micafungin prophylaxis (50 mg/day). Five Candida glabrata isolates were obtained from blood cultures and were classified as multidrug-resistant isolates, since all of them exhibited high MICs for echinocandin and azole drugs. A mutation (S663F) in hot spot 1 of the FKS2 gene was found in all five isolates. This mutation yielded a...
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