First isolations in India of Candida nivariensis, a globally emerging opportunistic pathogen

Med Mycol. 2010 Mar;48(2):416-20. doi: 10.1080/13693780903114231.

Abstract

We randomly screened 363 yeast isolates during 2008 for their ability to form white colonies on CHROM agar Candida medium. Two of these isolates (0.5%) were identified as Candida nivariensis based on detailed phenotypic characterization and DNA sequencing. One was recovered from the sputum of an HIV-positive patient with a pneumonic lesion and the second from the blood of a diabetic with oropharyngeal lesions. Direct DNA sequencing of the D1/D2 region of 28S rRNA gene and/or the internal transcribed spacer (ITS) regions of rDNA confirmed that both of the isolates were C. nivariensis. The carbohydrate assimilation profiles with the ID 32 C and VITEK 2 yeast identification systems revealed only glucose assimilation. In vitro antifungal susceptibility profiles by broth microdilution and Etest methods revealed susceptibility of both isolates to fluconazole, itraconazole, voriconazole, amphotericin B and 5-flucytosine, with low MICs for posaconazole and caspofungin. These results document the occurrence of Candida nivariensis for the first time in India and focus on its potential as an opportunistic human pathogen.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • AIDS-Related Opportunistic Infections / drug therapy
  • AIDS-Related Opportunistic Infections / microbiology
  • Aged
  • Antifungal Agents / pharmacology
  • Antifungal Agents / therapeutic use
  • Candida / drug effects
  • Candida / genetics
  • Candida / growth & development
  • Candida / isolation & purification*
  • Communicable Diseases, Emerging / drug therapy
  • Communicable Diseases, Emerging / microbiology
  • DNA, Fungal / analysis
  • DNA, Fungal / isolation & purification
  • Drug Resistance, Fungal
  • Humans
  • India
  • Male
  • Microbial Sensitivity Tests
  • Middle Aged
  • RNA, Ribosomal, 28S / genetics

Substances

  • Antifungal Agents
  • DNA, Fungal
  • RNA, Ribosomal, 28S