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Candidozyma auris Spondylodiscitis: A Case Report from Saudi Arabia and Literature Review
Rakan Sambas1, Khalid Bin Aziz2,3, Faisal N Alqahtani1,3
1Department of Medicine, King Abdulaziz Medical City, Ministry of the National Guard Health Affairs (MNGHA), Riyadh 11481, Saudi Arabia.
Abstract:
Candidozyma auris (formerly known as Candida auris) is an emerging multidrug-resistant fungal pathogen that has become increasingly implicated in healthcare-associated infections; however, its involvement in spondylodiscitis is exceedingly rare. We report the case of a 65-year-old Saudi male with multiple comorbidities who presented with altered mental status and was subsequently diagnosed with Candidozyma auris spondylodiscitis and bilateral psoas abscesses. Despite broad-spectrum antifungal therapy and multidisciplinary management, the patient's condition rapidly deteriorated. This case highlights the significant challenges in diagnosing and managing multidrug-resistant C. auris infections and underscores the need for early suspicion, effective source control, and novel antifungal strategies in high-risk populations.
Insights
Candidozyma auris, a multidrug-resistant fungus, rarely causes spondylodiscitis. This case report details a severe infection in a Saudi male, emphasizing diagnostic and management challenges.
Area of Science:
- Infectious Diseases
- Mycology
- Clinical Case Study
Background:
- Candidozyma auris (formerly Candida auris) is an emerging multidrug-resistant fungal pathogen.
- It is increasingly implicated in healthcare-associated infections.
- Involvement in spondylodiscitis is exceptionally rare.
Purpose of the Study:
- To report a rare case of Candidozyma auris spondylodiscitis.
- To highlight diagnostic and management challenges.
- To underscore the need for early suspicion and novel treatment strategies.
Main Methods:
- Case report of a 65-year-old Saudi male with comorbidities.
- Diagnosis of Candidozyma auris spondylodiscitis and bilateral psoas abscesses.
- Treatment with broad-spectrum antifungal therapy and multidisciplinary management.
Main Results:
- The patient presented with altered mental status.
- Despite aggressive treatment, the patient's condition rapidly deteriorated.
- This case illustrates the difficulties in managing multidrug-resistant C. auris infections.
Conclusions:
- Candidozyma auris spondylodiscitis is a rare but severe complication.
- Early suspicion, source control, and new antifungal therapies are crucial.
- High-risk populations require vigilant monitoring for C. auris infections.
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