**Core Concept**
Voriconazole is a triazole antifungal agent that inhibits the cytochrome P450-dependent enzyme lanosterol 14Ξ±-demethylase, thereby preventing the conversion of lanosterol to ergosterol, an essential component of fungal cell membranes. This action disrupts fungal cell membrane synthesis and ultimately leads to cell death.
**Why the Correct Answer is Right**
The correct answer is Aspergillus terreus. Voriconazole is effective against a wide range of fungal pathogens, including Aspergillus species such as A. fumigatus and A. flavus. However, Aspergillus terreus possesses a 34-base pair deletion in the cyp51A gene, which encodes the lanosterol 14Ξ±-demethylase enzyme targeted by voriconazole. This deletion reduces the affinity of the enzyme for voriconazole, rendering the drug less effective against A. terreus.
**Why Each Wrong Option is Incorrect**
* **Option A:** This option is not provided. Please provide the complete question.
* **Option B:** This option is not provided. Please provide the complete question.
* **Option C:** This option is not provided. Please provide the complete question.
* **Option D:** This option is not provided. Please provide the complete question.
**Clinical Pearl / High-Yield Fact**
It's essential to be aware of the specific antifungal resistance patterns when treating fungal infections, especially in cases where voriconazole is not effective. In such scenarios, alternative antifungal agents such as amphotericin B or posaconazole may be considered.
**Correct Answer:** D.
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
Access thousands of free MCQs, ebooks and daily exams.
By signing in you agree to our Privacy Policy.