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Table 3 Identification by ITS sequencing

From: Molecular detection, not extended culture incubation, contributes to diagnosis of fungal infection

Patient history

Clinical indication for fungal culture

Specimen

Direct microscopic examination

Identification by ITS sequencing

Acute myeloid leukemia (AML)

Disseminated fungal infection involving multiple organs

Apical mass, liver biopsy, pericardium

Positive

Saccaromyces cerevisiae

Recent history of pneumonia requiring hospitalization

Left cerebellar lesion on imaging

Brain tissue

Positive

Blastomyces dermatitidis

Heart transplantation

Cavitary pneumonia

BAL

Negative

Rhizopus microsporus

Renal transplantation

Multiloculted cystic lesion medial to transplanted kidney in left pelvis

Blood

Negative

Histoplasma capsulatum

Hydrocephalus with a ventriculoperitoneal shunt

Brain lesion

Brain tissue

Positive

Rhodotorula spp.

Renal transplantation

Cavitary lung lesions/pulmonary nodule

CSF

Negative

Aspergillus

AML

Pneumonia, sinusitis and periorbital cellulitis

Ethmoid

Negative

Fusarium spp.

Stage III Wilms tumor

Skin lesion

Scalp lesion

Positive

Rhizopus spp.

AML

Cutaneous fungal lesions

Skin biopsy

Positive

Fusarium spp.

Pregnancy

Severe amniotic fluid infection

Placenta tissue

Positive

Candida glabrata

AML

Neutropenic fevers and pulmonary nodules

Tissue

Negative

Aspergillus spp.

AML

Disseminated fungal infection with empyema, pericarditis

Pericardial abscess

Positive

Candida tropicalis

Renal transplantation

Pulmonary cavitary lesion

TISC-left upper lobe region

Negative

Cunningmahella spp.

No significant medical history

Liver abscess

Liver biopsy

Positive

Candida lusitaniae

Renal transplantation

Disseminated invasive Aspergillosis involving multiple organs

Brain tissue

Positive

Aspergillus spp.

Renal transplantation

Mass in the left sinus invading the orbit

Eye tissue

Negative

Aspergillus spp.