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Published on: December 28, 2017
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
Abstract:
Although Candida species are present as normal microflora of the human host, alterations in host defenses can lead to development of disease. Candida infections, ranging from urinary tract infections to bloodstream infections, are common in patients in the intensive care unit. Infections with non-albicans Candida sp are becoming more frequent, and resistance among these isolates is concerning. Candida kefyr is an uncommonly documented fungal pathogen. We report two cases of infection resulting from C. kefyr in our institution. The two patients had underlying disease states and drug therapies that increased the likelihood of developing an immunocompromised state. The C. kefyr isolates obtained from both patients were susceptible to amphotericin B, fluconazole, and itraconazole. Both patients had resolution of infection, one after receiving treatment with amphotericin B and the other with voriconazole.
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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