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Candida auris emergence in the Himalayan foothills: First case report from Uttarakhand, India
Suneeta Meena1, Ranjana Rohilla1, Neelam Kaistha1
1Department of Microbiology, All India Institute of Medical Sciences, Rishikesh, India.
Background And Purpose:
Candida auris is a rapidly emerging fungus, which is considered globally a cause of concern for public health. This report describes the first case of C. auris fungemia from a tertiary care hospital in the hilly state of Uttarakhand in India.
Case Report:
The patient was a 37-year-old female who underwent a Whipple procedure for the carcinoma of the head of the pancreas. She developed fever 12 days after the operation while recovering from surgery in the hospital. Blood culture yielded C. auris which was identified by the matrix-assisted laser desorption/ionization-time of flight mass spectrometry (Bruker Daltonics, Germany). The patient was successfully treated with caspofungin.
Conclusion:
In conclusion, C. auris is potentially multidrug resistant, resulting in nosocomial outbreaks and sporadic infections which can be potentially prevented when identified early by implementing contact precautions.
Insights
This case report details the first instance of Candida auris fungemia in Uttarakhand, India. Early identification and contact precautions are crucial for preventing the spread of this multidrug-resistant fungus.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Public Health
Background:
- Candida auris is an emerging multidrug-resistant fungal pathogen of global public health concern.
- This report documents the first case of C. auris fungemia in Uttarakhand, India.
Observation:
- A 37-year-old female developed fungemia post-Whipple procedure for pancreatic cancer.
- Blood cultures identified Candida auris, confirmed via MALDI-TOF MS.
- The patient was successfully treated with caspofungin.
Findings:
- Candida auris fungemia can occur in immunocompromised patients following major surgery.
- Early detection and appropriate antifungal therapy are critical for patient outcomes.
- This case highlights the need for heightened surveillance of C. auris in healthcare settings.
Implications:
- Implementing contact precautions can help prevent nosocomial outbreaks of C. auris.
- Early identification of C. auris is essential for effective management and control.
- This case underscores the expanding geographic reach and clinical significance of C. auris infections.
