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Published on: March 1, 2024
Candida parapsilosis infection following the electrosurgery procedure
Aldona Pietrzak1, Konrad Janowski, Grażyna Chodorowska
1Department of Dermatology, Venereology and Pediatric Dermatology, Medical University of Lublin, Poland.
Abstract:
Subcutaneous mycoses are fungal infections that predominantly affect the dermis and subcutaneous tissue. The most common pathogen responsible for these infections is Candida albicans; however, another yeast from this group, Candida parapsilosis, becomes the cause of increasing numbers of mycotic infections. Recent reports suggested that this microorganism may be particularly resistant to disinfectants, which can facilitate its spread through the medical staff, instruments, and biomaterial. We report a case of a patient in whom a C. parapsilosis infection occurred as a complication following a minor electrocoagulation procedure. Because all obtained laboratory findings were nonspecific, the infection could be properly diagnosed only through cultures from the skin lesion.
Insights
Candida parapsilosis causes increasing subcutaneous mycoses and may resist disinfectants. Early diagnosis via skin lesion cultures is crucial for effective treatment of this emerging fungal threat.
Area of Science:
- Medical Mycology
- Infectious Diseases
Background:
- Subcutaneous mycoses affect deep skin layers.
- Candida albicans is a common cause, but Candida parapsilosis is emerging.
- C. parapsilosis may exhibit disinfectant resistance, aiding transmission.
Observation:
- A patient developed C. parapsilosis infection post-electrocoagulation.
- Initial laboratory findings were nonspecific.
- Diagnosis required skin lesion cultures.
Findings:
- C. parapsilosis confirmed as the causative agent.
- Culture-based diagnosis was essential due to non-specific initial results.
- Highlights the diagnostic challenge of C. parapsilosis subcutaneous infections.
Implications:
- Emphasizes the need for vigilance regarding C. parapsilosis in clinical settings.
- Suggests potential challenges in infection control due to disinfectant resistance.
- Underscores the importance of microbiological cultures for diagnosing atypical fungal infections.
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