Evidence map›Paper›PMID 40737508›Full record

ArticleThe Journal of infectious diseases2025

In Vivo Evolution of Candida auris Multidrug Resistance in a Patient Receiving Antifungal Treatment.

Tristan W Wang, Nicole Putnam, J Kristie Johnson, Mary Ann Jabra-Rizk

Abstract readCase Reports
In one paragraph

Article in The Journal of infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Beyond intrinsic resistance: novel insights into the emergence and management of resistance acquired in Candida auris upon antifungal exposure.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Review
  2. Frontiers in cellular and infection microbiology · 2026
    Review
4 · The record

Corrections and comments

  • Update of
    2025
5 · Who and what money

Authors and funding

4 authors.

Tristan W WangDepartment of Oncology and Diagnostic Sciences, School of Dentistry, University of Maryland, Baltimore, Maryland, USA.
Nicole PutnamDepartment of Pathology, University of Maryland School of Medicine, Baltimore, Maryland, USA.
J Kristie JohnsonDepartment of Pathology, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Mary Ann Jabra-RizkDepartment of Oncology and Diagnostic Sciences, School of Dentistry, University of Maryland, Baltimore, Maryland, USA.ORCID 0000-0002-4425-3873

Funding

C. albicans and S. aureus Catheter Infections: Clinical Implications and TherapyR01AI130170 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI JABRA-RIZK, MARY ANN Y · 2017 to 2020
$1.5M
National Institute of Allergy and Infectious DiseasesNIAID NIH HHS R01 AI130170NIH HHS R01AI130170University of Maryland Baltimore
6 · The paper itself

Abstract

Candida auris is associated with life-threatening invasive disease due to a high level of drug resistance. We present a clinical case of C. auris multidrug resistance development in a patient acquired during antifungal treatment. Five isolates were prospectively recovered from a lung transplant patient receiving antifungal therapy over a 1-year period. While isolates were initially only resistant to fluconazole, the terminal isolate became resistant to caspofungin and amphotericin B with significant increase in micafungin minimum inhibitory concentration. Sequencing of ERG11 and FKS1 genes identified mutations associated with fluconazole and echinocandin resistance in the multidrug-resistant isolate, underscoring the threat of therapy-induced development of resistance.

Indexed as

Antifungal AgentsCandida aurisCandidiasisDrug Resistance, Multiple, FungalAgedAmphotericin BCaspofunginEchinocandinsFluconazoleFungal ProteinsHumansLipopeptidesLung TransplantationMaleMicafunginMicrobial Sensitivity TestsAmphotericin BAntifungal AgentsCaspofunginEchinocandinsFluconazoleFungal ProteinsLipopeptidesMicafunginantifungalsCandida aurismultidrug resistance developmenttherapy

Identifiers

PMID40737508
PMCPMC12614962

What OpenQuestion holds

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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.