Clonal Dissemination of Antifungal-Resistant Candida haemulonii, China
Xinfei Chen, Xinmiao Jia, Jian Bing, Han Zhang, Nan Hong, Yun Liu, Haiyang Xi, Weiping Wang, Zhiyong Liu, Qiangqiang Zhang, Li Li, Mei Kang, Yuling Xiao, Bin Yang, Yulan Lin, Hui Xu, Xin Fan, Jingjing Huang, Jie Gong, Juan Xu, Xiuli Xie, Wenhang Yang, Ge Zhang, Jingjia Zhang, Wei Kang, He Wang, Xin Hou, Meng Xiao1
, and Yingchun Xu1
Author affiliations: Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China (X. Chen, X. Jia, H. Zhang, J. Huang, X. Xie, W. Yang, G. Zhang, J. Zhang, W. Kang, M. Xiao, Y. Xu); State Key Laboratory of Complex Severe and Rare Diseases and Beijing Key Laboratory for Mechanisms Research and Precision Diagnosis of Invasive Fungal Diseases, Beijing (X. Chen, X. Jia, H. Zhang, J. Huang, X. Xie, W. Yang, G. Zhang, J. Zhang, W. Kang, M. Xiao, Y. Xu); Fudan University, Shanghai, China (J. Bing, Q. Zhang, L. Li); Nanjing University School of Medicine, Nanjing, China (N. Hong, H. Xi, W. Wang); Changhai Hospital, Shanghai (Y. Liu); Southwest Hospital Affiliated the Third Military Medical University, Chongqing, China (Z. Liu); Sichuan University, Chengdu, China (M. Kang, Y. Xiao); The First Affiliated Hospital of Fujian Medical University, Fuzhou, China (B. Yang, Y. Lin); The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China (H. Xu); Capital Medical University, Beijing (X. Fan); Chinese Center for Disease Control and Prevention, Beijing (J. Gong, J. Xu); Dynamiker Sub-Center of Beijing Key Laboratory for Mechanisms Research and Precision Diagnosis of Invasive Fungal Disease, Tianjin, China (H. Wang); Peking University Third Hospital, Beijing (X. Hou)
Figure 3. Distribution of 4 regionally disseminated Candida haemulonii clusters (clusters A, B, C, and D) in 5 hospitals in China. Isolates not belonging to the 4 major clusters were summarized as noncluster strains. Pie charts indicate number of isolates (indicated by size of pie) and distribution of clusters (distinguished by color).
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