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Table 2 Amino acid substitutions, antifungal agent MICs, and patient’s characteristics for 22 Candida tropicalis clinical isolates

From: MDR1 overexpression combined with ERG11 mutations induce high-level fluconazole resistance in Candida tropicalis clinical isolates

Designation

Origin

Date of isolation

Age /Sex

Underlying disease

Ward

Substitution of amino acid residue (Erg11p)

DST

Antifungal agent MIC (mg/L)

Previous azole usea

Antifungal therapy

Thirty-day outcome

FLU

VOR

ITR

POS

AMB

5FC

Ct01R

Blood

8/5/15

37/M

ALL

Hematology

Y132F, S154F

225

128

4

0.25

0.25

0.5

≤0.06

FLU, VOR

CAS, AMB

Survival

Ct02R

Pleural fluid

10/4/14

65/M

Liver Transplantation

ICU

None

639

8

0.5

0.25

0.25

0.5

≤0.06

VOR

None

Death

Ct03R

Blood

9/12/13

72/F

Chronic Renal Failure

Gastroenterological Surgery

Y132F, S154F

639

256

4

0.5

0.5

0.5

0.25

None

FLU, AMB

Death

Ct04R

Blood

11/8/13

26/M

ALL

Hematology

Y132F, S154F

329

64

2

0.25

0.25

0.5

≤0.06

FLU

ITR

Survival

Ct05R

Blood

2/22/15

40/M

CML

Hematology

Y132F, S154F

615

128

4

0.25

0.5

0.5

0.12

FLU, ITR

CAS

Survival

Ct06R

Blood

4/6/17

38/M

AML

Hematology

Y132F, S154F

NT

128

4

0.5

0.5

0.5

0.12

FLU, VOR

CAS, AMB

Survival

Ct07R

Urine

9/15/14

87/F

Cholangitis

ICU

Y132F, S154F

225

256

> 8

1

1

0.5

≤0.06

None

None

Survival

Ct08R

Urine

7/22/15

19/M

Nephrlithotomy

Urology

Y132F, S154F

225

64

4

0.5

1

1

≤0.06

None

VOR

Survival

Ct09R

Urine

8/7/15

64/M

Pneumonia

Respiratory

Y132F, S154F

225

> 256

8

1

1

1

≤0.06

None

None

Survival

Ct10R

Blood

9/2/15

25/F

ALL

Hematology

Y132F, S154F

506

> 256

8

1

1

1

≤0.06

ITR

CAS

Survival

Ct11R

Urine

9/26/15

80/M

Pneumonia

ICU

Y132F, S154F

508

64

2

0.25

0.25

0.5

≤0.06

None

None

Death

Ct12R

Urine

6/17/15

83/F

Adrenocortical Carcinoma

ICU

Y132F, S154F

508

64

4

0.25

0.25

0.5

≤0.06

None

None

Death

Ct01S

Cervix

4/5/17

34/F

Premature Delivery

Obstetrics

None

NT

2

0.12

0.12

0.12

0.25

≤0.06

None

None

Survival

Ct02S

Sputum

6/15/17

62/M

Respiratory Failure

Respiratory

None

NT

1

0.12

0.12

0.12

0.25

≤0.06

None

None

Survival

Ct03S

Urine

6/23/17

16/F

Ewing’s Sarcoma

Musculoskeletal Tumor

None

NT

1

0.06

0.12

0.12

0.25

0.12

None

FLU

Survival

Ct04S

Catheter

6/26/17

44/M

Hepatocellular Carcinoma

ICU

None

NT

2

0.12

0.25

0.25

0.25

≤0.06

None

None

Death

Ct05S

Blood

11/27/14

50/M

Cirrhosis

Hepatology

None

519

2

0.12

0.25

0.25

1

≤0.06

None

CAS

Survival

Ct06S

Blood

2/13/15

43/M

AML

Hematology

None

169

1

0.12

0.25

0.5

0.5

≤0.06

None

ITR

Death

Ct07S

Urine

7/3/15

80/M

CHD

Cardiology

None

343

1

0.12

0.25

0.25

0.5

0.25

None

None

Survival

Ct08S

Blood

9/25/15

42/M

AML

Hematology

None

399

1

0.12

0.25

0.12

1

0.12

None

VOR, AMB

Death

Ct09S

Blood

10/31/14

51/F

AML

Hematology

None

300

2

0.25

0.25

0.25

0.5

0.12

None

VOR, AMB

Death

Ct10S

Urine

7/26/17

23/M

HPS

ICU

None

169

1

0.12

0.25

0.25

0.5

≤0.06

None

None

Survival

  1. 5FC 5-flucytosine, ALL acute lymphocytic leukemia, AMB amphotericin B, AML acute myeloid leukemia, CAS caspofungin, CHD coronary heart disease, CML chronic myeloid leukemia, FLU fluconazole, HPS hemophagocytic syndrome, ITR itraconazole, NT untyped, POS posaconazole, VOR voriconazole
  2. awithin 3 months prior to the detection of C. tropicalis