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. 2020 Aug 20;64(9):e00402-20. doi: 10.1128/AAC.00402-20

TABLE 4.

Sets of sequential isolates from single patients that demonstrated a susceptible (S)-to-nonsusceptible (I or R) shift in antimicrobial resistance within a 6-month period, representing a single infection episode

Organism and patient ID Specimen ID Specimen source Interval (no. of days) FLUa
VORIa
CASPa
MICAa
ANIa
STa Molecular mechanism of resistance
MIC Resistance MIC Resistance MIC Resistance MIC Resistance MIC Resistance
C. albicans
PA0188 SP0206 Blood 0 0.5 S ≤0.008 S 918 Unknown
SP0369 Pleural fluid 83 ≥256 R 8 R 918
PA2062 SP2512 Blood 0 2 S 0.015 S 726 ERG3: A255T
SP2683 Blood 55 256 R 8 R 726
PA0909 SP1153 Blood 0 0.06 S 0.015 S ≤0.015 S 3568 GSC1: S645P
SP1274 Blood 55 >8 R 2 R 0.25 S 3568
PA1070 SP1261 Blood 0 0.5 I 0.06 S 0.06 S 3570 GSC1: S645P
SP1350 Peritoneal fluid 34 4 R 2 R 0.5 I 3570
PA3104 SP4920 Blood 0 0.12 S 0.015 S ≤0.015 S 3569 GSC1: S645P
SP5052 Blood 39 8 R 4 R 1 R 3569
C. glabrata
PA1293 SP1533 Abscess 0 0.06 S 10 None detected
SP1643 Abdomen 35 0.5 R 10
PA3825 SP4776 Blood 0 0.06 S
SP4784 Blood 2 0.25 I
PA1823 SP2186 Blood 0 0.03 S
SP2198 Blood 5 0.25 I
PA2095 SP2554 Urine 0 0.06 S
SP2585 Urine 9 0.25 I
PA3539 SP4419 Pleural fluid 0 0.06 S
SP4650 Pleural fluid 80 0.25 I
PA1563 SP1866 Peritoneal fluid 0 0.015 S
SP2187 Blood 115 0.12 I
PA1188 SP1405 Blood 0 0.12 S 0.12 S
SP1475 Blood 26 0.25 I 0.25 I
PA1921 SP2320 Blood 0 0.12 S 0.03 S 0.03 S 16 FKS2: S663P
SP2659 Blood 118 8 R 2 R 2 R 16
PA2117 SP2583 Blood 0 0.12 S 0.015 S 0.03 S
SP2672 Blood 28 1 R 0.5 R 1 R
PA2320 SP3417 Blood 0 0.06 S 0.015 S 0.03 S 3 FKS2: S663P
SP3689 Blood 75 8 R 8 R 2 R 3
PA2472 SP3046 Blood 0 0.12 S 0.015 S 0.06 S 19 FKS2: S663P
SP3439 Blood 127 0.25 I 0.12 I 0.5 R 19
PA2419 SP2982 Peritoneal fluid 0 0.06 S 0.015 S ≤0.015 S 17
SP3003 Blood 10 0.5 R 0.12 I 0.25 I 3 FKS1: F625I
C. parapsilosis
PA1947 SP2355 Wound 0 0.12 S
SP2398 Other 17 0.25 I
PA2106 SP2568 Blood 0 0.06 S
SP2675 Blood 35 0.25 I
C. tropicalis
PA3063 SP3823 Blood 0 0.12 S
SP3887 Blood 25 0.25 I
PA3762 SP4694 Peritoneal fluid 0 1 S 0.12 S 975 Aneuploidy of supercontig 3.8 and increased copy no. of ERG11 and TAC1
SP4785 Peritoneal fluid 28 32 R 2 R 975
PA3550 SP4433 Blood 0 0.06 S 0.015 S 0.12 S 974 CTRG_04661: S30P
SP4501 Blood 22 8 R 2 R 1 R 974
C. krusei
PA1488 SP1777 Blood 0 0.25 S
SP1811 Blood 15 0.5 I
a

FLU, fluconazole; VORI, voriconazole; CASP, caspofungin; MICA, micafungin; ANI, anidulafungin; ST, sequence type.