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Bio-energetics Investigation of Candida albicans Using Real-time Extracellular Flux Analysis
Published on: March 19, 2019
[Fungemia caused by Candida lipolytica: Speaking of two cases]
María Teresa Blanco1, Pedro García-Martos, Ana García-Tapia
1Servicio de Microbiología, Hospital Universitario Puerta del Mar, Cádiz, España.
Abstract:
Candida lipolytica has rarely been reported as a human pathogen. We observed two cases of fungemia caused by C. lipolytica, one of them in a 12-year-old child with cystic pancreatic fibrosis in advanced phase and another in a 86-year-old woman who presented vesical neoformation with peritoneal fibrosis, bilateral hydronephrosis and recurrent urinary tract infections. After antifungal treatment and catheter removal, the fungemia appeared to be finished and blood cultures were negative.
Insights
Candida lipolytica, a rare human pathogen, caused fungemia in two patients with severe underlying conditions. Successful treatment involved antifungals and catheter removal, leading to negative blood cultures.
Area of Science:
- Medical Mycology
- Infectious Diseases
Background:
- Candida lipolytica is infrequently documented as a cause of human infection.
- Fungal infections can pose significant challenges, particularly in immunocompromised or critically ill patients.
Observation:
- Two distinct cases of fungemia (fungal bloodstream infection) attributed to Candida lipolytica were identified.
- The first case involved a 12-year-old child with advanced cystic pancreatic fibrosis.
- The second case involved an 86-year-old woman with significant urinary tract issues and anatomical abnormalities.
Findings:
- Both patients received antifungal therapy.
- Catheter removal was a component of the treatment strategy for both individuals.
- Post-treatment blood cultures in both cases were negative, indicating resolution of fungemia.
Implications:
- These cases highlight Candida lipolytica as a potential pathogen in specific clinical scenarios.
- Effective management may involve a combination of antifungal agents and removal of potential sources like catheters.
- Further research into the pathogenicity and treatment of Candida lipolytica infections is warranted.
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