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Table. 1.

Result of identification and antifungal susceptibility testing of two Candida isolates from a pediatric patient with congenital megacolon

Test method Isolate 1 Isolate 2
Identification
Vitek2 YST card (bioMérieux, Marcy-l’Étoile, France) Candida duobushaemulonii C. duobushaemulonii
MALDI-TOF VITEK MS (bioMérieux) C. duobushaemulonii C. duobushaemulonii
MALDI-TOF MS, Biotyper (Biotyper; Bruker Daltonics, Billerica, MA, USA) Candida pseudohaemulonii C. pseudohaemulonii
MALDI-TOF MS, ASTA MicroIDSys (ASTA, Suwon, Korea) C. pseudohaemulonii C. pseudohaemulonii
ITS sequence analysis (identical rate to reference GenBank No.) Candida vulturna (100% [438/438 bp] identity to MN330068.1) C. vulturna (100% [438/438 bp] identity to MN330068.1)
C. pseudohaemulonii (95% [417/441 bp] identity to NR_163771.1) C. pseudohaemulonii (95% [417/441 bp] identity to NR_16 3771.1)
D1/D2 domain sequence analysis (identical rate to reference GenBank No.) C. vulturna (100% [482/482 bp] identity to MN197921.1) C. vulturna (100% [482/482 bp] identity to MN197921.1)
C. pseudohaemulonii (96% [464/484 bp] identity to EF177490.1) C. pseudohaemulonii (96% [464/484 bp] identity to EF177490.1)
Antifungal susceptibility (MIC, μg/mL)
Amphotericin B (Etest) 8 12
Fluconazole (CLSI M27-ED4) 4 4
Voriconazole (CLSI M27-ED4) 0.25 0.25
Micafungin (CLSI M27-ED4) 0.5 0.5
Caspofungin (CLSI M27-ED4) 0.5 0.5

Abbreviations: MALDI-TOF MS, matrix-associated laser desorption/ionization time-of-flight mass spectrometry; ITS, internal transcribed spacer region; D1/D2 domain, D1/D2 regions of the 26S rRNA gene; MIC, minimum inhibitory concentration; CLSI M27-ED4, CLSI M27-ED4 broth microdilution method.

Ann Lab Med 2023;43:395~397 https://doi.org/10.3343/alm.2023.43.4.395

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