Candida kefyr, an uncommon but emerging fungal pathogen: report of two cases

Kimberly Corpus1, Rozelle Hegeman-Dingle, Iman Bajjoka

  • 1Departments of Pharmacy Services, Henry Ford Hospital, Detroit, Michigan 48202, USA. kcorpus1@hfhs.org

Pharmacotherapy
|September 2, 2004
PubMed

Insights

Candida kefyr, a rare fungal pathogen, caused infections in two immunocompromised patients. Both patients recovered after treatment with antifungal medications, highlighting successful therapeutic outcomes.

Area of Science:

  • Medical Mycology
  • Infectious Diseases
  • Clinical Microbiology

Background:

  • Candida species are normal human microflora but can cause disease in immunocompromised individuals.
  • Intensive care unit (ICU) patients are susceptible to Candida infections, including urinary tract and bloodstream infections.
  • Increasing frequency of non-albicans Candida infections and emerging antifungal resistance are significant concerns.

Observation:

  • This report details two rare cases of infection caused by Candida kefyr.
  • Both infected patients had underlying conditions and treatments predisposing them to an immunocompromised state.
  • Candida kefyr isolates from both patients demonstrated susceptibility to amphotericin B, fluconazole, and itraconazole.

Findings:

  • Successful treatment outcomes were achieved in both reported cases of Candida kefyr infection.
  • One patient received amphotericin B, leading to infection resolution.
  • The other patient was treated with voriconazole, also resulting in resolution of the infection.

Implications:

  • These cases underscore the importance of considering and identifying uncommon Candida species like C. kefyr in clinical settings.
  • The susceptibility of C. kefyr isolates to standard antifungal agents suggests effective treatment options are available.
  • Further research into the pathogenicity and treatment of C. kefyr infections may be warranted, especially in vulnerable patient populations.

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