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A case report of fungemia due to Kodamaea ohmeri
K Diallo1, B Lefevre2, G Cadelis3
1Department of Infective and Tropical Diseases, Dermatology and Internal Medicine, University Hospital of Pointe à Pitre, Pointe à Pitre, France. kevin.diallo@hotmail.fr.
Background:
Kodamaea ohmeri is a yeast is frequently mistaken for Candida, which belongs to the same family. This micro-organism has been reported to cause life-threatening infections in humans.
Case Presentation:
A 81-year-old woman developed a severe fungemic pulmonary infection due to Kodamaea ohmeri that was identified from bronchoalveolar fluid and blood cultures, which is unusual in immunocompetent patients. Because K. ohmeri was first wrongly identified as Candida albicans, the patient inadequately received caspofungin, which was clinically ineffective, especially as the strain was resistant to echinocandins. Clinical cure was obtained after treatment was switched to voriconazole.
Conclusions:
An increasing number of serious infections due to K. ohmeri has been reported in the literature, but the correct identification of this micro-organism remains difficult.
Insights
Kodamaea ohmeri, a yeast often misidentified as Candida, can cause severe human infections. Prompt diagnosis and appropriate antifungal treatment, such as voriconazole, are crucial for successful outcomes.
Area of Science:
- Medical Mycology
- Infectious Diseases
Background:
- Kodamaea ohmeri is a yeast frequently misidentified as Candida species.
- This fungus is increasingly recognized as a cause of severe, life-threatening human infections.
Observation:
- An 81-year-old immunocompetent woman presented with fungemic pulmonary infection caused by K. ohmeri.
- Initial misidentification as Candida albicans led to ineffective caspofungin treatment due to echinocandin resistance.
Findings:
- Accurate identification of K. ohmeri from bronchoalveolar fluid and blood cultures is critical.
- The patient achieved clinical cure after switching antifungal therapy to voriconazole.
Implications:
- Highlights the diagnostic challenges associated with K. ohmeri.
- Emphasizes the importance of correct yeast identification for effective antifungal therapy selection.
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