title: Candida catenulata fungemia in a cancer patient.
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.
authors.affiliation: Institut de Parasitologie et de Pathologie Tropicale, Faculté de Médecine, 67000 Strasbourg, France.
authors.forename: M
authors.initials: M
authors.lastname: Radosavljevic
authors.forename: H
authors.initials: H
authors.lastname: Koenig
authors.forename: V
authors.initials: V
authors.lastname: Letscher-Bru
authors.forename: J
authors.initials: J
authors.lastname: Waller
authors.forename: F
authors.initials: F
authors.lastname: Maloisel
authors.forename: B
authors.initials: B
authors.lastname: Lioure
authors.forename: R
authors.initials: R
authors.lastname: Herbrecht
mesh_terms: D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D001769:Blood / Q000382:microbiology; D002175:Candida / Q000302:isolation & purification*; D002177:Candidiasis / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D016469:Fungemia / Q000382:microbiology*; D006801:Humans; D013274:Stomach Neoplasms / Q000150:complications*
chemical_list: D000935:Antifungal Agents; D000666:Amphotericin B