Candida catenulata fungemia in a cancer patient

J Clin Microbiol. 1999 Feb;37(2):475-7. doi: 10.1128/JCM.37.2.475-477.1999.

Abstract

We report the first case of fungemia due to Candida catenulata, a contaminant of dairy products. C. catenulata was isolated from three blood cultures of a patient with gastric cancer. The patient failed to respond to fluconazole but recovered after treatment was switched to amphotericin B. In vitro, C. catenulata was susceptible to amphotericin B and itraconazole and was also susceptible to fluconazole in dose-dependent manner. The likely portal of entry was the digestive tract, as the patient often ate cheese and had multiple gastric ulcerations.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Amphotericin B / therapeutic use
  • Antifungal Agents / therapeutic use
  • Blood / microbiology
  • Candida / isolation & purification*
  • Candidiasis / complications
  • Candidiasis / drug therapy
  • Candidiasis / microbiology*
  • Female
  • Fungemia / microbiology*
  • Humans
  • Stomach Neoplasms / complications*

Substances

  • Antifungal Agents
  • Amphotericin B