[Saccharomyces cerevisiae invasive infection: The first reported case in Morocco]

A Maleb1, E Sebbar1, M Frikh2

  • 1Laboratoire de microbiologie, centre hospitalier universitaire Mohammed VI d'Oujda, BP 4806, 60049 Oujda, Maroc; Faculté de médecine et de pharmacie, université Mohammed Premier d'Oujda, Oujda, Maroc.

Insights

Saccharomyces cerevisiae, an opportunistic pathogen, can cause invasive infections, particularly fungemias, in at-risk individuals. This study details a rare case in Morocco and reviews global literature, emphasizing clinical suspicion and accurate diagnosis.

Area of Science:

  • Medical Mycology
  • Infectious Diseases
  • Clinical Microbiology

Background:

  • Saccharomyces cerevisiae is a common yeast with industrial applications.
  • It is increasingly recognized as an emerging opportunistic pathogen in humans.
  • Risk factors include immunosuppression and intravascular devices, with fungemia being a frequent clinical manifestation.

Observation:

  • A case of invasive Saccharomyces cerevisiae infection in a 77-year-old patient with metastatic gastric cancer and septic shock is presented.
  • The patient exhibited S. cerevisiae in both blood and urine, with clinical indicators supporting invasive infection.
  • This represents the first reported case of S. cerevisiae invasive infection in Morocco.

Findings:

  • Species identification was confirmed through biochemical characterization of the isolated yeast.
  • The study reviews worldwide literature cases of S. cerevisiae infections.
  • Confirmation of infection relies on clinical suspicion in patients with risk factors and robust microbiological diagnosis.

Implications:

  • This case underscores the potential for Saccharomyces cerevisiae to cause severe invasive infections, particularly in immunocompromised individuals.
  • Accurate and timely microbiological diagnosis is crucial for effective management of S. cerevisiae infections.
  • Increased awareness and vigilance are necessary to address the underestimation of this yeast's pathogenic potential.