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Record W4415470253 · doi:10.1155/crdi/5543654

<i>Candida blankii</i> : The Difficult Capture of a Fungus With Pathogenic Potential

2025· article· en· W4415470253 on OpenAlex
Arjun Sharma, Johan Delport, Ana Cabrera, Mohammadreza R. Shahmirzadi, Fatimah AlMutawa

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueCase Reports in Infectious Diseases · 2025
Typearticle
Languageen
FieldMedicine
TopicAntifungal resistance and susceptibility
Canadian institutionsWestern University
Fundersnot available
KeywordsPathogenBronchoalveolar lavagePulmonary diseaseDiseaseIdentification (biology)Human pathogenFungus

Abstract

fetched live from OpenAlex

Candida blankii has recently emerged as a pathogen of clinical significance, particularly in cases of candidemia. Here, we present two cases involving adult patients with complex medical histories. In one case, C. blankii was considered clinically significant, while in the other, it was regarded as a colonizer. The first case involves an 85‐year‐old male with multiple comorbidities, including chronic obstructive pulmonary disease and heart failure, who presented with a pleural effusion. Blood cultures revealed yeast which could not be identified by matrix‐assisted laser desorption/ionization time‐of‐flight mass spectrometry (MALDI‐TOF MS), which was later identified as C. blankii after being sent to the provincial reference laboratory. The isolate showed high minimum inhibitory concentrations (MICs) to azoles. The second case involves a 60‐year‐old male with cirrhosis and multifocal pneumonia. C. blankii was isolated from bronchoalveolar lavage samples, though it was ultimately considered a colonizer rather than a pathogen in this instance. Initial identification via MALDI‐TOF MS was inconclusive, necessitating further molecular sequencing. The pathogen exhibited high MICs to azoles and lower MICs to echinocandins and polyenes. Both cases highlight the challenges in identifying C. blankii using conventional laboratory methods. Given the increasing reports of C. blankii as a pathogen, particularly in immunocompromised patients, our findings emphasize the need for heightened awareness and improved diagnostic techniques. Accurate and timely identification is crucial for appropriate therapeutic management, given the organism’s unique susceptibility profile. Further research is necessary to understand the epidemiology, pathogenesis, and optimal treatment strategies for C. blankii infections.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.051
Threshold uncertainty score0.390

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.003
GPT teacher head0.237
Teacher spread0.233 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it