Evidence map›Paper›PMID 23303503›Full record

ArticleJournal of clinical microbiology2013

Epidemiology, antifungal susceptibility, and pathogenicity of Candida africana isolates from the United Kingdom.

Andrew M Borman, Adrien Szekely, Chistopher J Linton, Michael D Palmer, Phillipa Brown, Elizabeth M Johnson

Abstract read
In one paragraph

Article in Journal of clinical microbiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Compromising UDP-sugar nucleotide biosynthesis attenuatesCell surface (Amsterdam, Netherlands) · 2026
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  4. Exometabolome variation in the fungal pathogen of humansApplied and environmental microbiology · 2026
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  6. An update on clinically relevant, rare, and emergingClinical microbiology reviews · 2025
    Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Prevalence of Closely RelatedPolish journal of microbiology · 2023
    Article
  13. Candidiasis and Other Emerging Yeasts.Current fungal infection reports · 2023
    Review
  14. Overview on the Infections Related to RarePathogens (Basel, Switzerland) · 2022
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Andrew M BormanUK National Mycology Reference Laboratory (MRL), Health Protection Agency South-West, Bristol, United Kingdom. Andy.Borman@uhBristol.nhs.uk
Adrien Szekely
Chistopher J Linton
Michael D Palmer
Phillipa Brown
Elizabeth M Johnson

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Candida africana was previously proposed as a new species within the Candida albicans species complex, together with C. albicans and C. dubliniensis, although further phylogenetic analyses better support its status as an unusual variant within C. albicans. Here we show that C. africana can be distinguished from C. albicans and C. dubliniensis by pyrosequencing of a short region of ITS2, and we have evaluated its occurrence in clinical samples by pyrosequencing all presumptive isolates of C. albicans submitted to the Mycology Reference Laboratory over a 9-month period. The C. albicans complex constituted 826/1,839 (44.9%) of yeast isolates received over the study period and included 783 isolates of C. albicans, 28 isolates of C. dubliniensis, and 15 isolates of C. africana. In agreement with previous reports, C. africana was isolated exclusively from genital specimens, in women in the 18-to-35-year age group. Indeed, C. africana constituted 15/251 (6%) of "C. albicans" isolates from female genital specimens during the study period. C. africana isolates were germ tube positive, grew significantly more slowly than C. albicans and C. dubliniensis on conventional mycological media, could be distinguished from the other members of the C. albicans complex by appearance on chromogenic agar, and were incapable of forming chlamydospores. Here we present the detailed evaluation of epidemiological, phenotypic, and clinical features and antifungal susceptibility profiles of United Kingdom isolates of C. africana. Furthermore, we demonstrate that C. africana is significantly less pathogenic than C. albicans and C. dubliniensis in the Galleria mellonella insect systemic infection model.

Indexed as

AdolescentAdultAntifungal AgentsCandidaCandidiasis, VulvovaginalDNA, FungalDNA, IntergenicFemaleGenitalia, FemaleHumansMaleMicrobial Sensitivity TestsSequence Analysis, DNAUnited KingdomYoung AdultAntifungal AgentsDNA, FungalDNA, Intergenic

Identifiers

PMID23303503
PMCPMC3592039

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.