Cited by 96Antifungal resistance and susceptibilityFungal Infections and StudiesNeutropenia and Cancer Infections

Candida lusitaniae: A Cause of Breakthrough Fungemia in Cancer Patients

Minari, A., Hachem, R., Raad, I.·2001·Clinical Infectious Diseases

Abstract

Candida lusitaniae is an infrequent cause of fungemia. We identified 12 cases of C. lusitaniae fungemia that occurred at the University of Texas M. D. Anderson Cancer Center from 1988 to 1999. The mean age of patients was 48 years (range 20--70 years). Eight patients had hematologic malignancy or had received a bone marrow transplant, and 4 had a solid tumor. Most patients (75%) were neutropenic (<10(3)/mm(3)). Treatment with amphotericin B alone failed for 3 of 6 patients, irrespective of neutropenic status. Fluconazole was effective as a single agent in 3 patients with solid tumors. The combination of amphotericin B plus fluconazole was effective treatment for two-thirds of patients with hematologic malignancy, despite persistence of neutropenia. The mortality rate associated with C. lusitaniae infection was 25%. C. lusitaniae presents as breakthrough fungemia in immunocompromised patients and is associated with failure of amphotericin B therapy. Fluconazole may be a useful agent in the treatment of this infection.

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  • Not all C. lusitaniae isolates are resistant, but therapeutic failure of amphotericin B is well documented.

    “Not all isolates are resistant [11,23,37], but therapeutic failure of amphotericin B is well documented [38].”

    From Guidelines for Treatment of Candidiasis (2004) · cites this paper as [38]

  • Morgan et al. found that invasive aspergillosis was an uncommon complication of hematopoietic stem cell transplants (0.5% to 2.9%) and solid organ transplants (0.1% to 2.4%) at 19 U.S. transplant centers from 2001 to 2002.

    “These findings are supported by Morgan et al. (165), who found that IA was an uncommon complication of hematopoietic stem cell transplants (0.5% to 2.9%) and solid organ transplants (0.1% to 2.4%) at 19 U.S. transplant centers from 2001 to 2002.”

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Research works printed but not linked: 6

  1. Nguyen MH, Peacock JE, Morris AJ, et al. The changing face of can- didemia: emergence of non-C. albicans species and antifungal resis- tance. Am J Med 1996; 100:617-23.
  2. Clancy CJ, Nguyen MH, Yu VL, et al. Fungemia caused by Candida lusitaniae: epidemiology, clinical manifestations, therapy, and outcome. Infect Med 1996; 13:940, 948-51.
  3. Leggiardo RJ, Collins T. Postneurosurgical Candida lusitaniae men- ingitis. Pediatr Infect Dis J 1988; 7:368-9.
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Authors
Minari, A., Hachem, R., & Raad, I.
Affiliations
The University of Texas MD Anderson Cancer Center (US)
Corresponding author
Raad, I.
Venue
Clinical Infectious Diseases
Published
2001-01-15
Volume
32
Issue
2
Pages
186-190
ISSN
  • 1058-4838 (ISSN-L)
  • 1537-6591
OpenAlex
W2107384876
Cited by
96
References
40
Citations by year
2026: 1 · 2025: 3 · 2024: 4 · 2023: 5 · 2022: 2 · 2021: 4 · 2020: 3 · 2019: 6 · 2018: 2 · 2017: 6 · 2016: 2 · 2015: 2 · 2014: 6 · 2012: 4
FWCI
4.54
Type
journal article
Language
en
Open access
closed
Locations
  • Clinical Infectious Diseases (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
  • Health Sciences › Medicine › Epidemiology › Fungal Infections and Studies
  • Health Sciences › Medicine › Oncology › Neutropenia and Cancer Infections
Keywords
Candida lusitaniae, candidemia, cancer patients, hematologic malignancies, bone marrow transplantation, neutropenia, amphotericin B, fluconazole, combination antifungal therapy, mortality, immunocompromised patients
MeSH terms
Adult, Aged, Amphotericin B, Antifungal Agents, Candida, Candidiasis, Drug Therapy, Combination, Female, Humans, Male, Middle Aged, Neoplasms, Neutropenia, Fluconazole, Bone Marrow Transplantation, Fungemia, Immunocompromised Host, Treatment Failure, Hematologic Neoplasms

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