title: Candida quercitrusa Candidemia in a 6-Year-Old Child.
abstract: We present the first case of candidemia due to Candida quercitrusa in a pediatric patient. The identification of the isolate was protracted and ultimately dependent upon sequence analysis of the internal transcribed spacer region. To further define the antifungal susceptibility characteristics of this species, we performed antifungal susceptibility testing of clinical and type strains. In light of the antifungal susceptibility testing results, we caution against the use of fluconazole for treating C. quercitrusa infections.
authors.affiliation: Department of Pathology, Children's Healthcare of Atlanta, Atlanta, Georgia, USA Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, Georgia, USA Emory Antibiotic Resistance Center, Emory University School of Medicine, Atlanta, Georgia, USA Westblade,lars.westblade@emory.edu.
authors.forename: Lars F
authors.initials: LF
authors.lastname: Westblade
authors.affiliation: Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA.
authors.forename: Christina A
authors.initials: CA
authors.lastname: Rostad
authors.affiliation: Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA.
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Hilinski
authors.affiliation: Department of Pathology, Children's Healthcare of Atlanta, Atlanta, Georgia, USA.
authors.forename: Theresa
authors.initials: T
authors.lastname: Stanley
authors.affiliation: Department of Pathology, Children's Healthcare of Atlanta, Atlanta, Georgia, USA Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
authors.forename: Robert C
authors.initials: RC
authors.lastname: Jerris
authors.affiliation: R&D Microbiology, bioMérieux, Inc., Hazelwood, Missouri, USA.
authors.forename: Kathy
authors.initials: K
authors.lastname: Wilkey
authors.affiliation: R&D Microbiology, bioMérieux, Inc., Hazelwood, Missouri, USA.
authors.forename: David H
authors.initials: DH
authors.lastname: Pincus
mesh_terms: D000935:Antifungal Agents / Q000494:pharmacology; D002175:Candida / Q000145:classification / Q000187:drug effects / Q000235:genetics / Q000302:isolation & purification*; D058387:Candidemia / Q000175:diagnosis* / Q000473:pathology*; D002648:Child; D004271:DNA, Fungal / Q000737:chemistry / Q000235:genetics; D021903:DNA, Ribosomal Spacer / Q000737:chemistry / Q000235:genetics; D006801:Humans; D008297:Male; D008826:Microbial Sensitivity Tests; D017422:Sequence Analysis, DNA
chemical_list: D000935:Antifungal Agents; D004271:DNA, Fungal; D021903:DNA, Ribosomal Spacer