Evidence map›Paper›PMID 25666389›Full record

ReviewMycopathologia2015

Neonatal Candidemia Caused by Candida haemulonii: Case Report and Review of Literature.

Carolina M Silva, Ana M R Carvalho-Parahym, Danielle P C Macêdo, Reginaldo G Lima-Neto, Elaine C Francisco, Analy S A Melo, Maria da Conceição M Silva, Moacir B Jucá, Luciana R B Mello, Rosemary M J Amorim and 1 more

Abstract readCase ReportsReview
PubMed Publisher
In one paragraph

Review in Mycopathologia, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% of its field
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Brazilian guidelines for the diagnosis and treatment of candidemia and invasive candidiasis in adults and children.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    Guideline
  2. An update on clinically relevant, rare, and emergingClinical microbiology reviews · 2025
    Review
  3. The multidrug-resistantCurrent research in microbial sciences · 2025
    Review
  4. Candidemia caused by Candida haemulonii: a case report and literature review in neonates.Revista do Instituto de Medicina Tropical de Sao Paulo · 2025
    Review
  5. Candidemia in Brazilian neonatal intensive care units: risk factors, epidemiology, and antifungal resistance.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2023
    Article
  6. Article
  7. Biofilm Formed byJournal of fungi (Basel, Switzerland) · 2020
    Article
  8. Archives of disease in childhood · 2018
    Review
  9. Article
  10. Spectrum and management of rareTherapeutic advances in infectious disease
    Review
  11. Clinical and epidemiological aspects of Candidemia in eight medical centers in the state of Parana, Brazil: Parana Candidemia Network.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    Article
  12. Review
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

11 authors at 3 institutions in 1 country.

Carolina M SilvaFederal University of Pernambuco, Av. Prof. Moraes Rego, 1235, Cidade Universitária, Recife, PE, 50670-901, Brazil.
Ana M R Carvalho-Parahym
Danielle P C Macêdo
Reginaldo G Lima-Neto
Elaine C Francisco
Analy S A Melo
Maria da Conceição M Silva
Moacir B Jucá
Luciana R B Mello
Rosemary M J Amorim
Rejane P Neves
Universidade Federal de Pernambuco · BRUniversidade Federal de São Paulo · BRReal Hospital Português · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Candidemia is a frequent condition in Neonatal Intensive Care Units (NICU) and usually complicates the newborns clinical course. Several factors are responsible for candidiasis, such as prematurity and use of broad-spectrum antibiotics, and in these cases, there are the involvement of various Candida species, as C. albicans, and C. parapsilosis. However, other species as C. haemulonii has been rarely described in candidemia cases, being considered an emergent pathogen. Thus, we report a case of neonatal candidemia by C. haemulonii and a review of literature of fungemia by this yeast. The patient was a neonate with gestational age of 26 weeks and birth weight of 660 g hospitalized in a NICU from a Brazilian hospital. The identification of the etiological agent was performed by phenotypic methods, scanning electron microscopy, sequencing of the ITS region of rDNA, and mass spectrometry. Antifungal susceptibility testing was carried out according to the Clinical Laboratories and Standards Institute guidelines. The newborn was diagnosed with candidemia by C. haemulonii resistant to amphotericin B with minimal inhibitory concentration (MIC) of 8 µg/mL, sensitive to fluconazole (MIC: 8 µg/mL) and voriconazole (MIC: 0.12 µg/mL). The treatment with fluconazole (12 mg/kg/day) was established with good outcome. Candidemia by C. haemulonii is still being limited to a few sporadic cases in adults with endemic and restricted occurrences in neonates. Usually, the therapy with amphotericin B is ineffective against this species. Our results showed the importance of the mycological diagnosis associated to antifungigrama for the successful clinical management followed by important epidemiological data.

Indexed as

Antifungal AgentsBrazilCandidaCandidemiaDNA, FungalDNA, Ribosomal SpacerDrug Resistance, FungalFemaleHumansInfant, Extremely Low Birth WeightInfant, NewbornMass SpectrometryMicrobial Sensitivity TestsMolecular Sequence DataSequence Analysis, DNATreatment OutcomeAntifungal AgentsDNA, FungalDNA, Ribosomal Spacer

Identifiers

PMID25666389
OpenAlexW2050394555

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.