| Autor: |
Hassan Badrane, Shaoji Cheng, Chris Dupont, Binghua Hao, Eileen Driscoll, Kristen Morder, Guojun Liu, Anthony Newbrough, Giuseppe Fleres, Drishti Kaul, Josh Espinoza, Cornelius Clancy, Minh Hong Nguyen |
| Rok vydání: |
2023 |
| DOI: |
10.21203/rs.3.rs-2706400/v1 |
| Popis: |
The longstanding paradigm is that most bloodstream infections (BSIs) are caused by a single organism. We performed whole genome sequencing of five-to-ten strains from blood culture (BC) bottles in each of ten patients with Candida glabrata BSI. We demonstrated that BCs contained mixed populations of clonal but genetically diverse strains. Genetically distinct strains from two patients exhibited phenotypes that were potentially important during BSIs, including differences in susceptibility to antifungal agents and phagocytosis. In both patients, the clinical microbiology lab recovered a fluconazole-susceptible index strain, but we identified mixed fluconazole-susceptible and –resistant populations. Diversity in drug susceptibility was likely clinically relevant, as fluconazole-resistant strains were subsequently recovered by the clinical laboratory during persistent or relapsing infections. In one patient, unrecognized respiration-deficient small colony variants were fluconazole-resistant and significantly attenuated for virulence during murine candidiasis. Our data suggest a new population-based paradigm of C. glabrata genotypic and phenotypic diversity during BSIs. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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