Table 3.
A. fumigatus CYP51A mutations detected directly from respiratory samples.
| Specimen | Patient category | Clinical diagnosis | Culture/azole susceptibility | Mutations* | Prior azole therapy dosage and duration |
|---|---|---|---|---|---|
| Sputum | SOT | Colonization | A. fumigatus/ITC = 16 mg/L, POS =1 mg/L, VRC = 4 mg/L | TR34/L98H | POS 800 mg/d for 1 year |
| BAL | SOT | Colonization | Negative | I217T | No |
| BA | HAEM | Colonization | Negative | R355H | No |
| BA | HAEM | Colonization | Negative | L399F | No |
| Sputum | CF | ABPA | A. fumigatus/susceptible | I354V | No |
| BA | PULM | CPA | A. fumigatus/susceptible | promoter -129 T to C | VRC 400 mg/d for 3 months until 3 months before sampling |
| BAL | HAEM | IA | Negative | D70D; T140T | No |
| BA | HAEM | IA | Negative | L77L | No |
| BA | PULM | ABPA | Negative | R65R | No |
| BAL | SOT | Control | Negative | E356E | VRC 400 mg/d for 2 years |
ITC, itraconazole; POS, posaconazole; VRC, voriconazole.
Non-synonymous mutations are bolded.