Acquired Flucytosine Resistance during Combination Therapy with Caspofungin and Flucytosine for Candida glabrata Cystitis

Author:

Charlier Caroline1,El Sissy Carine2,Bachelier-Bassi Sophie3,Scemla Anne4,Quesne Gilles2,Sitterlé Emilie2,Legendre Christophe4,Lortholary Olivier1,Bougnoux Marie-Elisabeth23

Affiliation:

1. Université Paris Descartes Sorbonne Paris Cité, Service de Maladies Infectieuses et Tropicales, Centre d'Infectiologie Necker-Pasteur, Hôpital Universitaire Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, Institut Imagine, Paris, France

2. Université Paris Descartes Sorbonne Paris Cité, Service de Microbiologie Clinique, Hôpital Universitaire Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, Paris, France

3. Unité Biologie et Pathogénicité Fongiques, INRA, USC2019, Institut Pasteur, Paris, France

4. Université Paris Descartes Sorbonne Paris Cité, Service de Transplantation Rénale, Hôpital Universitaire Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, Paris, France

Abstract

ABSTRACT Treatment of Candida glabrata cystitis remains a therapeutic challenge, and an antifungal combination using flucytosine is one option. We describe two patients with refractory C. glabrata cystitis who failed flucytosine combined with caspofungin with early-acquired high-level resistance to flucytosine due to nonsense mutations in the FUR1 gene. Rapidly acquired flucytosine resistance with microbiological failure should discourage combination of caspofungin and flucytosine during urinary candidiasis.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference14 articles.

1. Candida Urinary Tract Infections—Treatment

2. Echinocandin antifungal drugs

3. ESCMID guideline for the diagnosis and management of Candida diseases 2012: non-neutropenic adult patients;Cornely OA;Clin Microbiol Infect,2012

4. Caspofungin in the Treatment of Symptomatic Candiduria

5. Mutational Analysis of Flucytosine Resistance in Candida glabrata

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