Invasive infections due to Clavispora lusitaniae
Clavispora lusitaniae (named until 1996 Candida. (C.) lusitaniae) were emerging fungal organisms and the first cases of infection in humans were described.
Candida lusitaniae as an unusual cause of recurrent vaginitis and its
The patient reported no menopausal vasomotor symptoms and was not taking hormone replacement therapy. Evaluation of follicle-stimulating hormone (FSH) and
Les endocardites fongiques : mise au point
1965 et 1995 la durée moyenne des symptômes avant prise en charge hospitalière était de 32 l'exception notable de Candida lusitaniae – mais la tolé-.
Identification des champignons dimportance médicale
Candida tropicalis C. krusei
Candida lusitaniae as an unusual cause of recurrent vaginitis and its
The patient reported no menopausal vasomotor symptoms and was not taking hormone replacement therapy. Evaluation of follicle-stimulating hormone (FSH) and
MYCOSES
Candida lusitaniae. Les symptômes respiratoires vont de la pneumonie modérée à mortelle. Les infections du système nerveux central se traduisent par une ...
Chapitre 51 - Traitement des infections fongiques invasives et
9 août 2018 Candida lusitaniae Aspergillus terreus
Susceptibility of clinical isolates of Candida lusitaniae to five
Objectives: The aim of the present study was to expand the MIC database for Candida lusitaniae in order to further determine its antifungal susceptibility
Epidemiology of nosocomial acquisition of Candida lusitaniae
13 mai 1990 Candida lusitaniae an organism frequently resistant to amphotericin B. We ... species were isolated from a site without signs or symptoms.
Construction dune souche de Candida lusitaniae génétiquement
7 déc. 2016 5.1.1 Souches de Candida lusitaniae utilisées et conditions de culture . ... gitation une insu sance cardiaque ou des symptômes en relation ...
1Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center,
Burns & Allen Research Institute, UCLA School of Medicine, Los Angeles, CA2Department of Pathology and Laboratory Medicine, Cedars-Sinai Medical Center,
Burns & Allen Research Institute, UCLA School of Medicine, Los Angeles, CA lusitaniae, a previously unreported cause of candidal vaginitis. Key words: VULVOVAGINITIS; VAGINITIS; CANDIDA; BORICACIDCASE REPORT
A55-year-oldgravida4,para2022Caucasian
womanwasreferredforevaluationandmanage- mentofchronicrecurrentvulvovaginitis.The patientreportedapproximatelyfiveyearsof1-3months.Shehadbeentreated,inresponseto
symptomsandcultureresults,withavarietyof overthepastyears.Hermostrecentantifungal therapywas6monthspriortoreferral,andcon- creamafteravaginalculturewaspositivefor symptomatic relief after that therapy.Thepatientwasingoodhealth,withnochronic
medicalconditions.Shewastakingnomedica- tions.Atotalabdominalhysterectomywith earlierforuterineleiomyomata.Thepatient reportednomenopausalvasomotorsymptoms, were not in the menopausal range.Atthetimeofinitialevaluation,thepatient
reportedonlyminimalsymptomatology.Exami- nationrevealednorednessorswellingofthe externalgenitaliaorthevagina.Nolesionsor excoriationswerepresent.ThevaginalpHwasInfect Dis Obstet Gynecol 2001;9:245-247
Boulevard, Suite 160W, Los Angeles, CA 90048. Email: silvermann@cshs.orgGynecologic case report245
culturesobtainedatthatvisitsubsequently symptom recurrence.Thepatientreturnedforsymptomrecurrence
vaginalpHwas4.5,andwetprepagainshowed werenegative.Thepatientwasstartedonoral fluconazoletobeginat200mgevery4daysfor symptomsandcolonizationwereprovenon fiedinourlaboratorythroughmorphologyonCA)andinoculationofanAPI20Cassimilation
strip(bioMerieux,Hazelwood,MO).Toelimi- too,withabsenceofmaltosefermentationcon- wascontactedandreportedthatshewasstill symptomatic,withnorelieffromtheketo- theendoftherapy,whichrespondedtoatopical emollient cream.DISCUSSION
WhileCandidaalbicansremainsthemostcommon
1970sto21%throughthe1980s,withTorulopsis
percentage increases for individual species2,3.Thechangeinbreakdownofpathogenicyeast
mentofcandidalvulvovaginitis.Thewidening resultatleastinpartfromexpandinguseof ingfortheemergenceofresistantorganisms. species,ashasbeenshowntobethecasewiththe symptomswhoarethentreatedwithmultiple antifungals,allowingtheemergenceofless- sensitive non-albicansspecies.1979inapatientwithacuteleukemia7,andhas
casesreportedthrough20008,9.Two-thirdsof Successful treatment ofCandida lusitaniaeSilvermanet al. 246INFECTIOUSDISEASESINOBSTETRICSAND GYNECOLOGY
thesecasesoccurredinimmunocompromisedC.lusitaniaeinotherwisehealthywomenhave
beenreportedtodate.Ofnoteisthefactthat competent fungemic patients8.Bothfluconazoleandketoconazoleproved
agentshavebeenshowntobeeffectiveinahigh197411,andithasbeenshowntobeeffective
regimenofintravaginalboricacidcapsulesas describedinSobel"sserieswasemployed,withC.lusitaniaeachieved.
Inreportingwhatwebelievetobethefirst
withnon-azoletherapy,weaddourconcernsto callytreatedinfections.Whileourpatient ongoingneedtoinvestigatenewerantifungal spectrumofpathogenicagents,evenin immunocompetent individuals.REFERENCES
problem.Derm Clin NA1998;16:763-82.OddsFC,WebsterCE,RileyVC,etal.Epi-
canceofnumbersofvaginalyeastsandtheir25:53-66
patient care.J Clin Pharmacol1992;32:248-55 opportunisticpathogensCandidaalbicansand (suppl B):39-49Curr Prob Obstet Gynecol Fertil1990;8:241-5
Fungemiaintheimmunocompromisedhost:
Am J Med1981;71:363-70
7.PappagianisD,CollinsMS,HectorR,etal.
DevelopmentofresistancetoamphotericinBin
Agents Chemother1979;16:123-6
Clin Infect Dis2001;32:186-90
genceofanewopportunisticpathogen,Candida lusitaniae.J Clin Microbiol1989;27:236-40 ketoconazoletherapy.NEnglJMed1986;315:1455-8
11.SwateTE,WeedJC.Boricacidtreatmentof
893-512.SobelJD,ChaimW.TreatmentofTorulopsis
therapy.Clin Infect Dis1997;24:649-52RECEIVED06/18/01; ACCEPTED10/04/01
Successful treatment ofCandida lusitaniaeSilvermanet al.INFECTIOUSDISEASESINOBSTETRICSAND GYNECOLOGY
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