A Case of Fungemia with Co-isolation of Candida parapsilosis and Trichosporon asahii Confirmed by MALDI-TOF MS and D2 rRNA Sequencing

eISSN 2093-6338 patients and patients with serious general clinical status [1]. Candida species are currently a major cause of sepsis acquired in health care institutions [2] and the most common cause of blood stream fungal infections [3, 4]. Among Candida species, the incidence of Candida parapsilosis infection has rapidly increased [1]. This species is the second most common pathogen isolated from blood cultures of patients with candidemia in the USA [5]. Several studies of the worldwide incidence of Candida infections have reported that C. parapsilosis is a more common isolate than Candida albicans in some non-US regions [6]. C. parapsilosis is responsible for many clinical diseases such as fungemia [5, 7], endocarditis [8], meningitis [9], and peritonitis [10]. In addition to Candida, Trichosporon species are associated with diverse clinical symptoms, from mild to fatal [11]. Trichosporon species are widely distributed; they are sometimes present on the human body as INTRODUCTION