Matrix-Assisted Laser Desorption Ionization-Time of Flight Mass Spectrometry for Differentiation of the Dimorphic Fungal Species Paracoccidioides brasiliensis and Paracoccidioides lutzii

Isolates of Paracoccidioides brasiliensis and Paracoccidioides lutzii, previously characterized by molecular techniques, were identified for the first time by matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS). All isolates were correctly identified, with log score values of >2.0. Thus, MALDI-TOF MS is a new tool for differentiating species of the genus Paracoccidioides.Univ São Paulo, Fac Med, Hosp Clin, Cent Lab Div LIM03, São Paulo, BrazilUniv São Paulo, Inst Med Trop, Hosp Clin FMUSP, Lab Med Mycol LIM53, São Paulo, BrazilUniv São Paulo, Dept Biophys, Escola Paulista Med, São Paulo, BrazilUniv Estadual Paulista, Dept Microbiol & Immunol, Inst Biociencias Botucatu, Botucatu, SP, BrazilUniv São Paulo, Dept Biophys, Escola Paulista Med, São Paulo, BrazilWeb of Scienc

A Brazilian Inter-Hospital Candidemia Outbreak Caused by Fluconazole-Resistant Candida parapsilosis in the COVID-19 Era

Horizontal transmission of fluconazole-resistant Candida parapsilosis (FRCP) through healthcare workers’ hands has contributed to the occurrence of candidemia outbreaks worldwide. Since the first COVID-19 case in Brazil was detected in early 2020, hospitals have reinforced hand hygiene and disinfection practices to minimize SARS-CoV-2 contamination. However, a Brazilian cardiology center, which shares ICU patients with a cancer center under a FRCP outbreak since 2019, reported an increased FRCP candidemia incidence in May 2020. Therefore, the purpose of this study was to investigate an inter-hospital candidemia outbreak caused by FRCP isolates during the first year of the COVID-19 pandemic in Brazil. C. parapsilosis bloodstream isolates obtained from the cancer (n = 35) and cardiology (n = 30) centers in 2020 were submitted to microsatellite genotyping and fluconazole susceptibility testing. The ERG11 gene of all isolates from the cardiology center was sequenced and compared to the corresponding sequences of the FRCP genotype responsible for the cancer center outbreak in 2019. Unprecedentedly, most of the FRCP isolates from the cardiology center presented the same genetic profile and Erg11-Y132F mutation detected in the strain that has been causing the persistent outbreak in the cancer center, highlighting the uninterrupted horizontal transmission of clonal isolates in our hospitals during the COVID-19 pandemic

Does the Capsule Interfere with Performance of Matrix-Assisted Laser Desorption Ionization-Time of Flight Mass Spectrometry for Identification of Cryptococcus neoformans and Cryptococcus gattii?

We described the impact of the capsule size for Cryptococcus neoformans and Cryptococcus gattii identification at the species level by Bruker matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS). After experimental capsule size modulation, we observed that reducing the capsule size resulted in improved identification by Bruker MALDI-TOF MS across all of the reference strains analyzed.Univ Sao Paulo, Hosp Clin FMUSP, Med Mycol Lab, LIM 53, Sao Paulo, BrazilUniv Sao Paulo, Inst Trop Med Sao Paulo, LIM 53, Sao Paulo, BrazilUniv Fed Sao Paulo, Escola Paulista Med, Dept Biophys, Sao Paulo, BrazilUniv Sao Paulo, Fac Med, Hosp Clin, Cent Lab Div, LIM 03, Sao Paulo, BrazilUniv Fed Sao Paulo, Escola Paulista Med, Dept Biophys, Sao Paulo, BrazilWeb of Scienc