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Introduction Sanger sequencing, developed by Frederick Sanger in 1977, is a chain-termination DNA sequencing method that remains the gold standard for molecular-level fungal identification.It is widely used to determine the exact nucleotide sequence of specific fungal genes (e.g., ITS, D1/D2, LSU, SSU, β-tubulin, calmodulin) to accurately identify fungal …
Introduction Unlike molds, yeasts are the most commonly recovered fungi in blood cultures. Candidemia is among the leading causes of bloodstream infections in immunocompromised and critically ill patients. Yeasts such as Candida, Cryptococcus, and Trichosporon are responsible for significant morbidity and mortality. Blood culture positivity …
Introduction Blood cultures are the cornerstone for diagnosing fungemia, but while yeasts (Candida spp.) are frequently detected, molds are rarely recovered in blood culture systems. This is because most molds (Aspergillus, Mucorales) cause tissue-invasive disease without sustained fungemia. However, certain molds such as Fusarium spp. …
Introduction Yeasts, especially Candida and Cryptococcus species, are frequent causes of opportunistic infections in immunocompromised patients. Determining their antifungal susceptibility is crucial for guiding effective therapy. While broth microdilution methods (CLSI/EUCAST) serve as reference standards, they are labor-intensive and time-consuming. Colorimetric antifungal susceptibility testing systems …
Introduction of Yeast Identification by Chromogenic Media (HiMedia) Opportunistic yeasts, especially Candida species, are frequent causes of infections ranging from superficial candidiasis to life-threatening systemic disease. Conventional identification based on culture and biochemical tests can be time-consuming and may not reliably distinguish closely related species. …
Introduction Candida auris is an emerging multidrug-resistant yeast responsible for outbreaks of healthcare-associated infections worldwide. It is difficult to identify by conventional culture and biochemical methods, often misidentified as other Candida species (C. haemulonii, C. famata). Rapid and accurate detection is essential to initiate infection …
Introduction Invasive mold infections such as those caused by Aspergillus, Fusarium, Scedosporium, and Mucorales present significant clinical challenges, especially in immunocompromised hosts. Mortality rates are high, and empirical antifungal therapy often fails due to intrinsic or acquired resistance. Standardized antifungal susceptibility testing (AFST) is therefore …
Introduction Fungal infections caused by yeasts, particularly Candida and Cryptococcus species, represent a significant clinical challenge in immunocompromised and critically ill patients. Antifungal susceptibility testing (AFST) is crucial for guiding therapy, particularly in cases of treatment failure or the emergence of resistance. The broth microdilution …