Candida lusitaniae: A Cause of Breakthrough Fungemia in Cancer Patients
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.”
From Epidemiology of Invasive Candidiasis: a Persistent Public Health Problem (2007) · cites this paper as [165]
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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.
- ORCID
- Hachem, R.
- Venue
- Clinical Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- 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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