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Infectious Diseases in Clinical Practice:
doi: 10.1097/IPC.0b013e3181d04a1d
Case Reports

Failure of Caspofungin for Treatment of Candida glabrata Candiduria: Case Report and Review of the Literature

Malani, Anurag N. MD

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Abstract

The echinocandins have not been studied for the treatment of Candida urinary tract infections. Current evidence in a small number of patients notes both success and failure.

I report nonresponse to treatment with caspofungin associated with the rapid development of resistance in a 64-year-old woman with a complicated C. glabrata urinary tract infection. Until further clinical data are available, the echinocandins should be used with caution for the treatment of complicated C. glabrata urinary tract infections.

© 2010 Lippincott Williams & Wilkins, Inc.