A voriconazole-resistant isolate of Aspergillus fumigatus was recovered from an immunocompetent patient receiving long-term antifungal therapy for cerebral aspergillosis. A G448S amino acid substitution in the azole target (Cyp51A) was identified as the cause of the resistance phenotype. This article describes the first isolation of a voriconazole-resistant A. fumigatus isolate from an immunocompetent patient in Spain.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3405584PMC
http://dx.doi.org/10.1128/JCM.00329-12DOI Listing

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