During August and September, 1992, we experienced 4 cases of Hansenula
anomala (H. anomala, synonym Pichia anomala) fungemia in immunocompro
mised patients. Two patients had been suffering from a malignant disea
se, 3 of them had received broad-spectrum antibiotics acid a central v
enous catheter (CVC) had been inserted in all of them. H. anomala was
isolated as the sole pathogen from all 4 patients. Three of them respo
nded favorably to fluconazole after withdrawal of the catheter, but on
e failed. H. anomala should be considered as a possible cause of cathe
ter-related infections.