Evidence map›Paper›PMID 31281859›Full record

ArticleOpen forum infectious diseases2019

Development of High-Level Echinocandin Resistance in a Patient With Recurrent

Mark J Biagi, Nathan P Wiederhold, Connie Gibas, Brian L Wickes, Victoria Lozano, Susan C Bleasdale, Larry Danziger

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 2 pooled it
9.4field-weighted citation impact, top 1% 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

74 citing papers in PubMed, 2 syntheses or guidelines pooled it, 124 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Deciphering the multidrug resistance paradigm inAntimicrobial agents and chemotherapy · 2026
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  8. Infection and drug resistance · 2026
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  10. Risk factors associated withEpidemiology and infection · 2025
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  12. First Report ofJournal of fungi (Basel, Switzerland) · 2025
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  13. Article
  14. ManagingAntimicrobial agents and chemotherapy · 2025
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  15. Article
  16. RapidmSphere · 2025
    Article
  17. Impact ofPathogens (Basel, Switzerland) · 2025
    Observational
  18. Review
  19. Identification, antifungal resistance, and genomic characterization of a singleFrontiers in cellular and infection microbiology · 2025
    Article
  20. Evolutionary accumulation ofEmerging microbes & infections · 2024
    Article

14 more citing papers are in PubMed but not listed here.

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

7 authors at 2 institutions in 1 country.

Mark J BiagiUniversity of Illinois at Chicago College of Pharmacy, Department of Pharmacy Practice.
Nathan P WiederholdUniversity of Texas Health Science Center at San Antonio, Department of Pathology and Laboratory Medicine, Fungus Testing Laboratory.ORCID 0000-0002-2225-5122
Connie GibasUniversity of Texas Health Science Center at San Antonio, Department of Pathology and Laboratory Medicine, Fungus Testing Laboratory.
Brian L WickesUniversity of Texas Health Science Center at San Antonio, Long School of Medicine, Department of Microbiology, Immunology, and Molecular Genetics.
Victoria LozanoUniversity of Texas Health Science Center at San Antonio, Long School of Medicine, Department of Microbiology, Immunology, and Molecular Genetics.
Susan C BleasdaleUniversity of Illinois at Chicago College of Medicine, Department of Medicine.
Larry DanzigerUniversity of Illinois at Chicago College of Pharmacy, Department of Pharmacy Practice.
The University of Texas Health Science Center at San Antonio · USUniversity of Illinois Chicago · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objective

methodsA 54-year-old male presented to our institution for concerns of sepsis on multiple occasions over a 5-month period. Eleven urine cultures were positive over this timeframe for yeast (9 unidentified Candida isolates and 2 C. lusitaniae isolates). On day 27, the patient developed echinocandin-susceptible candidemia, which was initially identified as C. haemulonii but later accurately identified as C. auris at an outside mycology reference laboratory. Approximately 10 weeks later, the patient had a recurrence of candidemia, this time caused by an echinocandin-resistant C. auris strain.

resultsGenomic DNA sequencing performed at the outside mycology reference laboratory identified a single serine to proline base pair change at position 639 (S639P) in the hotspot 1 region of the FKS1 gene of the echinocandin-resistant strain.

conclusionsOur experiences highlight 4 major concerns associated with C. auris: misidentification, persistent colonization, infection recurrence despite the receipt of appropriate initial therapy, and development of resistance.

Indexed as

antifungal resistanceCandida auriscandidemiaechinocandinFKS

Identifiers

PMID31281859
PMCPMC6602379
OpenAlexW2947844837

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.