RRC ID 52786
Author Toyotome T, Hagiwara D, Kida H, Ogi T, Watanabe A, Wada T, Komatsu R, Kamei K.
Title First clinical isolation report of azole-resistant Aspergillus fumigatus with TR34/L98H-type mutation in Japan.
Journal J Infect Chemother
Abstract Recently, azole-resistant Aspergillus fumigatus containing a 34-bp or 46-bp tandem repeat in the promoter region of cyp51A combined with amino acid substitution(s) has appeared in the environment worldwide, including several Asian countries. In this study, we isolated the 34-bp tandem repeat-containing azole-resistant A. fumigatus strain OKH50 from a patient in Japan in May 2016. The patient had not been treated with medical azoles before the strain isolation, suggesting that the resistant property was acquired before infection. In addition, the patient had not traveled overseas. Our analysis of short tandem repeats of the strain indicates that the strain is strongly related to the 34-bp tandem repeat-containing isolates from European countries and Asia-Oceania countries but not to susceptible isolates from Japan, suggesting that the strain was introduced from overseas and might spread in Japan.
Volume 23(8)
Pages 579-581
Published 2017-8-1
DOI 10.1016/j.jiac.2016.12.004
PII S1341-321X(16)30264-1
PMID 28109740
MeSH Aged Antifungal Agents / pharmacology* Aspergillus fumigatus* / drug effects Aspergillus fumigatus* / genetics Aspergillus fumigatus* / isolation & purification Azoles / pharmacology* Cytochrome P-450 Enzyme System / genetics Drug Resistance, Fungal / genetics* Fungal Proteins / genetics Humans Japan Male Mutation / genetics Pulmonary Aspergillosis / microbiology* Sputum / microbiology
IF 1.539
Times Cited 11
Resource
Pathogenic eukaryotic microorganisms 病原真菌:IFM 59056, IFM 60514, IFM 59365, IFM 61407, IFM 60237, IFM 59073, IFM 59359, IFM 62351, IFM 64159 (= OKH31), IFM 64732 (= OKH50)