Recurrent Fungemia Due to Candida auris

Area of Science:

• Infectious Diseases
• Mycology
• Critical Care Medicine

Background:

• Candida auris (C. auris) is an emerging multidrug-resistant fungal pathogen.
• Invasive C. auris infections are associated with high morbidity and mortality.
• Management of C. auris requires careful consideration of limited treatment options.

Observation:

• A case of recurrent, multidrug-resistant C. auris fungemia is presented.
• The patient experienced multiple hospitalizations and intensive care unit admissions over 12 months.
• Septic and hypovolemic shock complicated the management of C. auris fungemia.

Findings:

• Despite isolation and antifungal therapy, C. auris fungemia recurred.
• The case underscores the challenges posed by multidrug-resistant C. auris.
• Invasive C. auris infections demonstrate profound clinical implications.

Implications:

• This case highlights the need for enhanced surveillance and infection control for C. auris.
• Limited treatment options for multidrug-resistant C. auris contribute to poor outcomes.
• Further research is needed to develop effective therapeutic strategies against C. auris.