We describe a case of recurrent Candida glabrata fungemia that became unresponsive to fluconazole treatment. Posttreatment isolates from blood and vaginal cultures of the immunocompetent patient were azole resistant and exhibited upregulated expression of CgCDR1/CgCDR2 efflux pumps compared to the original isolates. Amphotericin B therapy eradicated the infection.
机构:University of Tennessee Health Science Center,Department of Clinical Pharmacy, Center for Pediatric Pharmacokinetics and Therapeutics, College of Pharmacy
Sarah G. Whaley
P. David Rogers
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机构:University of Tennessee Health Science Center,Department of Clinical Pharmacy, Center for Pediatric Pharmacokinetics and Therapeutics, College of Pharmacy
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Thomas Jefferson Univ, Dept Med, Div Infect Dis & Environm Med, Philadelphia, PA 19107 USAThomas Jefferson Univ, Dept Med, Div Infect Dis & Environm Med, Philadelphia, PA 19107 USA
Neofytos, Dionissios
Pfaller, Michael A.
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机构:Thomas Jefferson Univ, Dept Med, Div Infect Dis & Environm Med, Philadelphia, PA 19107 USA
Pfaller, Michael A.
Diekema, Daniel J.
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机构:Thomas Jefferson Univ, Dept Med, Div Infect Dis & Environm Med, Philadelphia, PA 19107 USA
Diekema, Daniel J.
Horn, David
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机构:Thomas Jefferson Univ, Dept Med, Div Infect Dis & Environm Med, Philadelphia, PA 19107 USA