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DESCRIPTIONS OF MEDICAL FUNGI

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34<br />

Descriptions of Medical Fungi<br />

Candida Berkhout<br />

The genus Candida is characterised by globose to elongate yeast-like cells or<br />

blastoconidia that reproduce by narrow-based multilateral budding. Pseudohyphae and<br />

occasionally true hyphae may also be present. Colony pigmentation is usually absent.<br />

Ballistoconidia are not formed. Arthroconidia may be formed, but not extensively.<br />

Sexual reproduction is absent. Glucose may be fermented. Nitrate may be assimilated.<br />

Starch-like compounds are not produced. The diazonium blue B reaction is negative.<br />

The genus is highly polyphyletic, as it comprises mitosporic species that are devoid of<br />

special distinguishing features (Lachance et al. 2011).<br />

Recently, several taxonomic rearrangements have been made and many well-known<br />

Candida species have been renamed and moved to other genera, notably Pichia<br />

kudriavzevii (formerly Candida krusei), Meyerozyma guilliermondii (formerly Candida<br />

guilliermondii), Clavispora lusitaniae (formerly Candida lusitaniae), Kluyveromyces<br />

marxianus (formerly Candida kefyr) and Wickerhamomyces anomalus (formerly<br />

Candida pelliculosa). C. glabrata and C. parapsilosis are now recognised as species<br />

complexes (Tavanti 2005; Correia 2006; Alcoba-Florez 2005).<br />

Several species may be aetiological agents, most commonly Candida albicans, followed<br />

by C. parapsilosis, C. glabrata, C. tropicalis and Pichia kudriavzevii. Altogether, these<br />

five species account for >95% of human infections. However a number of other species<br />

may also be isolated. All are ubiquitous and occur naturally on humans.<br />

a<br />

b<br />

10 μm<br />

Candida albicans showing (a) typical cream-coloured, smooth surfaced, waxy<br />

colonies and (b) narrow based budding spherical to ovoid blastoconidia.

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