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Candida lipolytica
(Harrison) Diddens & Lodder (1942)

 
Teleomorph:

Yarrowia lipolytica (Wickerham, Kurtzman & Herman) van der Walt & von Arx (1980)
   


Macroscopic morphology

Colonies on Sabouraud dextrose agar at 25°C are off-white, dull and cerebriform. This isolate grows at 37°C and on media containing cycloheximide. The urease reaction is also positive.

Microscopic morphology

On cornmeal following 72 hours incubation at 25°C, multi-branched true hyphae with rare blastoconidia may are seen. This species is likely to be indistinguishable from C. krusei on Chromager Candida [1069].

Special notes

This species has been implicated as an emerging pathogen [1011], and has been reported in fungemia in both the adult [1774] and pediatric [2095] population. Candida lipolytica has also been reported as a cause in refractory oral candidiasis [2264].

FTL* in vitro susceptibility data

AMB CAS 5FC FLU ITRA VORI
0.125 µg/ml=1 0.125 µg/ml=2 <0.125 µg/ml=1 <0.125 µg/ml=1 0.03 µg/ml=1 <0.015 µg/ml=1
0.25 µg/ml=3 0.25 µg/ml=1 2.0 µg/ml=1 0.5 µg/ml=2 0.06 µg/ml=1 0.03 µg/ml=2
1.0 µg/ml=1 >16 µg/ml=1 16 µg/ml=1 1.0 µg/ml=1 0.125 µg/ml=2 0.5 µg/ml=1
2.0 µg/ml=3     2.0 µg/ml=2 0.25 µg/ml=1  
      4.0 µg/ml=2 2.0 µg/ml=1  
      32 µg/ml=2 4.0 µg/ml=1  
      64 µg/ml=1    


Drug/N AMB/8 CAS/4 5FC/3 FLU/11 ITRA/7 VORI/4
MIC Range 0.125-2.0 0.125->16 <0.125-16 <0.125->64 0.03-4.0 <0.015-0.5
MIC50 * * * 2.0 * *
MIC90 * * * 32 * *
* Fungus Testing Laboratory unpublished data (NCCLS M27-A2)


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References

1011. Hazen, K. C. 1995. New and emerging yeast pathogens. Clin Microbiol Rev. 8:462-78.

1069. Hospenthal, D. R., M. L. Beckius, K. L. Floyd, L. L. Horvath, and C. K. Murray. 2006. Presumptive identification of Candida species other than C. albicans, C. krusei, and C. tropicalis with the chromogenic medium CHROMagar Candida. Ann Clin Microbiol Antimicrob. 5:1.

1774. Pfaller, M. A., and D. J. Diekema. 2004. Twelve years of fluconazole in clinical practice: global trends in species distribution and fluconazole susceptibility of bloodstream isolates of Candida. Clin Microbiol Infect. 10:11-23.

2095. Shin, J. H., H. Kook, D. H. Shin, T. J. Hwang, M. Kim, S. P. Suh, and D. W. Ryang. 2000. Nosocomial cluster of Candida lipolytica fungemia in pediatric patients. Eur. J. Clin. Microbiol. Infect. Dis. 19:344-349.

2264. Tumbarello, M., G. Caldarola, E. Tacconelli, G. Morace, B. Posteraro, R. Cauda, and L. Ortona. 1996. Analysis of the risk factors associated with the emergence of azole resistant oral candidosis in the course of HIV infection. J. Antimicrob. Chemother. 38:691-699.



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