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Bio-energetics Investigation of Candida albicans Using Real-time Extracellular Flux Analysis
Published on: March 19, 2019
Rapidly progressive necrotizing cellulitis secondary to Candida tropicalis infection in an immunocompromised host
Nithya Krishnan1, Bijal Patel1, William Palfrey1
1University of Florida College of Medicine-Jacksonville, Department of Medicine, Division of Pumonary and Critical Care Medicine, United States.
Abstract:
The incidence of invasive fungal infection is increasing as the population of immunosuppressed patients grows. Many species that were previously thought to be benign are now known pathogens. The most commonly isolated organisms (>80 %) include Candida albicans, Cryptococcus neoformans and Aspergillus fumigatus. However, there are several new and emerging organisms. The Non-albicans species of Candida are one of the emerging invasive fungal organisms that are beginning to affect high-risk patients such as those with bone marrow transplant, neutropenia, HIV/AIDS or on immunosuppressive therapy. We present a case of a patient who suffered with angioinvasive non-Albicans Candidal infection, leading to a life-threatening necrotizing cellulitis.
Insights
Invasive fungal infections are rising in immunocompromised patients. Emerging non-albicans Candida species pose a serious threat, as seen in a case of life-threatening necrotizing cellulitis.
Area of Science:
- Mycology
- Infectious Diseases
- Immunocompromised Host
Background:
- Invasive fungal infections (IFIs) are increasing due to a growing population of immunosuppressed patients.
- While Candida albicans, Cryptococcus neoformans, and Aspergillus fumigatus are common, emerging fungal pathogens are a growing concern.
- Non-albicans Candida species are increasingly identified as significant pathogens in high-risk individuals.
Observation:
- This study highlights a case of angioinvasive infection caused by a non-albicans Candida species.
- The infection manifested as a severe, life-threatening necrotizing cellulitis.
Findings:
- Non-albicans Candida species are emerging as critical pathogens in immunocompromised patients.
- Angioinvasive candidiasis by these species can lead to severe soft tissue infections like necrotizing cellulitis.
Implications:
- Early recognition and treatment of non-albicans Candida infections are crucial for patient outcomes.
- This case underscores the need for vigilance regarding emerging fungal pathogens in at-risk populations.
- Further research into the epidemiology and management of non-albicans Candida infections is warranted.
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