Rare opportunistic (non-Candida, non-Cryptococcus) yeast bloodstream infections in patients with cancer

Chitasombat, Maria N.; Kofteridis, Diamantis P.; Jiang, Ying; Tarrand, Jeffrey; Lewis, Russell E.; Kontoyiannis, Dimitrios P.

doi:10.1016/j.jinf.2011.11.002

Cited by 152Antifungal resistance and susceptibilityFungal Infections and StudiesYeasts and Rust Fungi Studies

Rare opportunistic (non-Candida, non-Cryptococcus) yeast bloodstream infections in patients with cancer

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Chitasombat, Maria N., Kofteridis, Diamantis P., Jiang, Ying, Tarrand, Jeffrey, Lewis, Russell E., Kontoyiannis, Dimitrios P.·2012·Journal of Infection

DOI 10.1016/j.jinf.2011.11.002PMC PMC3855381

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Abstract

Background Rare opportunistic (non-Candida, non-Cryptococcus) yeast bloodstream infections (ROYBSIs) are rare, even in cancer patients.Methods We retrospectively reviewed all episodes of ROYBSIs occurring from 1998 to 2010 in our cancer center.Results Of 2984 blood cultures positive for Candida and non-Candida yeasts, 94 (3.1%) were positive for non-Candida yeasts, representing 41 ROYBSIs (incidence, 2.1 cases/100,000 patient-days). Catheter-associated fungemia occurred in 21 (51%) patients. Breakthrough ROYBSIs occurred in 20 (49%) patients. The yeast species distribution was Rhodotorula in 21 (51%) patients, Trichosporon in 8 (20%) patients, Saccharomyces cerevisiae in 8 (20%) patients, Geotrichum in 2 (5%) patients, Pichia anomala, and Malassezia furfur in 1 patient each. All tested Trichosporon, Geotrichum, and Pichia isolates were azole-susceptible, whereas the Rhodotorula isolates were mostly azole-resistant. We noted echinocandin nonsusceptibility (minimal inhibitory concentration ≥ 2 mg/L) in all but the S. cerevisiae isolates. Most of the isolates (28/33 [85%]) were susceptible to amphotericin B. The mortality rate in all patients at 30 days after ROYBSIs diagnosis was 34%. Multivariate survival analysis revealed increased risk of death in patients with S. cerevisiae infections (hazard ratio, 3.7), Geotrichum infections (hazard ratio, 111.3), or disseminated infections (hazard ratio, 33.4) and reduced risk in patients who had catheter removal (hazard ratio, 0.1).Conclusions ROYBSIs are uncommon in patients with cancer, and catheters are common sources of them. Half of the ROYBSIs occurred as breakthrough infections, and in vitro species-specific resistance to echinocandins and azoles was common. Disseminated infections resulted in the high mortality rate.

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Saccharomyces cerevisiae is able to form a thin biofilm consisting of round, budding yeast-form cells and pseudohyphal cells in vitro.
“and it is able to form a thin biofilm consisting of round, budding yeast-form cells and pseudohyphal cells in vitro (26, 50, 128, 164).”
From Candida albicans Biofilms and Human Disease (2015) · cites this paper as [26]
Saccharomyces cerevisiae has been implicated in catheter-associated infections with mixed-species biofilms in patients in intensive care units.
“In a few case studies, however, S. cerevisiae has been implicated in catheter-associated infections with mixed-species biofilms in patients in intensive care units (ICUs)”
From Candida albicans Biofilms and Human Disease (2015) · cites this paper as [26]

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Authors: Chitasombat, M. N., Kofteridis, D. P., Jiang, Y., Tarrand, J., Lewis, R. E., & Kontoyiannis, D. P.
Affiliations: The University of Texas MD Anderson Cancer Center (US)
Corresponding author: Kontoyiannis, Dimitrios P.
ORCID: Chitasombat, Maria N.
Kofteridis, Diamantis P.
Jiang, Ying
Tarrand, Jeffrey
Lewis, Russell E.
Kontoyiannis, Dimitrios P.
Venue: Journal of Infection
Publisher: Elsevier BV
Published: 2012-01
Volume: 64
Issue: 1
Pages: 68-75
ISSN: 0163-4453 (ISSN-L)
DOI: 10.1016/j.jinf.2011.11.002
PMC: PMC3855381
OpenAlex: W2037672141
Cited by: 152
References: 39
Citations by year: 2026: 6 · 2025: 8 · 2024: 6 · 2023: 11 · 2022: 10 · 2021: 5 · 2020: 12 · 2019: 10 · 2018: 9 · 2017: 20 · 2016: 13 · 2015: 14 · 2014: 11 · 2013: 11 · 2012: 6
FWCI: 6.04
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Journal of Infection (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Archivio istituzionale della ricerca (Alma Mater Studiorum Università di Bologna) (submittedVersion)
Funders: National Cancer Institute (CA 016672, P30CA016672)
National Institute of Allergy and Infectious Diseases (R03AI083733)
Topics: Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
Health Sciences › Medicine › Epidemiology › Fungal Infections and Studies
Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Yeasts and Rust Fungi Studies
Keywords: bloodstream infection, cancer patients, breakthrough infection, Rhodotorula, Trichosporon, Saccharomyces cerevisiae, Geotrichum, azole resistance, echinocandin resistance, antifungal susceptibility, mortality, disseminated infection, catheter removal
MeSH terms: Adolescent, Adult, Aged, Aged, 80 and over, Antifungal Agents, Child, Female, Humans, Male, Middle Aged, Neoplasms, Opportunistic Infections, Retrospective Studies, Yeasts, Survival Analysis, Fungemia, Drug Resistance, Fungal, Catheter-Related Infections, Young Adult

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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

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Rare opportunistic (non-Candida, non-Cryptococcus) yeast bloodstream infections in patients with cancer

Abstract

Integrity signals

Claims the paper makes

Claims other papers make about this one

Self-check

Cites

Cited by

Related

Record

About these checks