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First Report of Candida auris Spondylodiscitis in Oman: A Rare Presentation

Sam Supreeth1, Khalifa A Al Ghafri1, Renjit K Jayachandra1

  • 1Khoula Hospital, Muscat, Oman.

World Neurosurgery
|September 17, 2019
PubMed
Abstract

Insights

Candida auris, a challenging emerging superbug, can cause severe infections like spondylodiscitis. Early diagnosis and treatment, as seen in this case, are crucial for patient recovery.

Area of Science:

  • Infectious Diseases
  • Medical Microbiology
  • Clinical Case Studies

Background:

  • Candida auris is a recently identified, globally spreading multidrug-resistant fungal pathogen.
  • Its increasing incidence poses significant challenges in healthcare settings worldwide.
  • Candida auris infections can affect multiple organ systems, demanding clinical vigilance.

Observation:

  • A 50-year-old male with comorbidities presented with severe low back pain.
  • Investigations revealed spondylodiscitis with an epidural collection, suspected to be Candida auris.
  • Surgical decompression and stabilization were performed, followed by caspofungin treatment.

Findings:

  • Histopathological analysis confirmed Candida auris infection.
  • Post-treatment, magnetic resonance imaging at 4 months demonstrated resolution of the infection.
  • Inflammatory markers normalized, indicating successful management.

Implications:

  • This case highlights Candida auris as a cause of hospital-acquired spondylodiscitis.
  • Awareness of its presentation is critical for healthcare practitioners.
  • Further research is needed to establish clear management guidelines for this emerging superbug.
Keywords:
Candida aurisCaspofunginCladeOmanSpondylodiscitis

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