In Vivo Selection of a Unique Tandem Repeat Mediated Azole Resistance Mechanism (TR 120 ) in Aspergillus Fumigatus cyp51A, Denmark

Rasmus K. Hare*, Jan B. Gertsen, Karen M.T. Astvad, Kristine B. Degn, Anders Løkke, Marc Stegger, Paal S. Andersen, Lise Kristensen, Maiken C. Arendrup

*Corresponding author for this work

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Abstract

We report a fatal aspergillosis case in which STRAf typing and whole-genome sequencing substantiated in vivo emergence of an azole-resistant Aspergillus fumigatus with a 120-bp tandem repeat in the promoter region of cyp51A. This event, previously restricted to the environment, challenges current understanding of azole resistance development in A. fumigatus.

Original languageEnglish
JournalEmerging Infectious Diseases
Volume25
Issue number3
Pages (from-to)577-580
ISSN1080-6040
DOIs
Publication statusPublished - Mar 2019

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