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Candida auris Invasive Infection after Kidney Transplantation

INTRODUCTION: C. auris has been associated not only with a variety of invasive fungal infections, including candidemia, sometimes related to central venous catheter, but also with pericarditis and respiratory tract and urinary tract infections. MATERIALS AND METHODS: We describe the case of a patien...

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Autores principales: Reque, Javier, Arlandis, Rosa, Panizo, Nayara, Pascual, Maria José, Perez-Alba, Alejandro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8816593/
https://www.ncbi.nlm.nih.gov/pubmed/35127186
http://dx.doi.org/10.1155/2022/6007607
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author Reque, Javier
Arlandis, Rosa
Panizo, Nayara
Pascual, Maria José
Perez-Alba, Alejandro
author_facet Reque, Javier
Arlandis, Rosa
Panizo, Nayara
Pascual, Maria José
Perez-Alba, Alejandro
author_sort Reque, Javier
collection PubMed
description INTRODUCTION: C. auris has been associated not only with a variety of invasive fungal infections, including candidemia, sometimes related to central venous catheter, but also with pericarditis and respiratory tract and urinary tract infections. MATERIALS AND METHODS: We describe the case of a patient with persistent fever despite antibiotics, who presented with Candida isolation in blood cultures, typified as Candida auris species. RESULTS: A 57-year-old male receiving peritoneal dialysis underwent kidney transplantation which was complicated by primary nonfunction due to arterial thrombosis necessitating graft nephrectomy. During the postoperative period, he presented with Pseudomonas aeruginosa pneumonia that was treated with levofloxacin and catheter-related Enterococcus faecalis bacteremia treated with linezolid. After hospital discharge, he then presented with herpes zoster infection treated with valacyclovir. Ten days later, he developed peritonitis and exit site infection with multidrug-resistant Pseudomonas aeruginosa treated with intraperitoneal aztreonam and peritoneal dialysis catheter removal. Despite broad-spectrum antibiotic therapy, the patient remained febrile. All microbiology laboratory tests were negative, so it was decided to stop antibiotic therapy for 48 hours and repeat cultures in order to avoid possible false negatives. In new blood cultures performed after suspension of antibiotic therapy, candidemia was observed, later typified as Candida auris species. After completing antifungal treatment (three weeks with intravenous amphotericin B 100 mg qd and two weeks of intravenous anidulafungin 100 mg qd), microbiological cultures remained negative and the patient made uneventful recovery. CONCLUSION: Candida auris invasive infection has been mainly described in patients with severe underlying comorbidities and immunocompromise. Multidrug-resistant clusters of Candida auris are increasingly emerging.
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spelling pubmed-88165932022-02-05 Candida auris Invasive Infection after Kidney Transplantation Reque, Javier Arlandis, Rosa Panizo, Nayara Pascual, Maria José Perez-Alba, Alejandro Case Rep Nephrol Case Report INTRODUCTION: C. auris has been associated not only with a variety of invasive fungal infections, including candidemia, sometimes related to central venous catheter, but also with pericarditis and respiratory tract and urinary tract infections. MATERIALS AND METHODS: We describe the case of a patient with persistent fever despite antibiotics, who presented with Candida isolation in blood cultures, typified as Candida auris species. RESULTS: A 57-year-old male receiving peritoneal dialysis underwent kidney transplantation which was complicated by primary nonfunction due to arterial thrombosis necessitating graft nephrectomy. During the postoperative period, he presented with Pseudomonas aeruginosa pneumonia that was treated with levofloxacin and catheter-related Enterococcus faecalis bacteremia treated with linezolid. After hospital discharge, he then presented with herpes zoster infection treated with valacyclovir. Ten days later, he developed peritonitis and exit site infection with multidrug-resistant Pseudomonas aeruginosa treated with intraperitoneal aztreonam and peritoneal dialysis catheter removal. Despite broad-spectrum antibiotic therapy, the patient remained febrile. All microbiology laboratory tests were negative, so it was decided to stop antibiotic therapy for 48 hours and repeat cultures in order to avoid possible false negatives. In new blood cultures performed after suspension of antibiotic therapy, candidemia was observed, later typified as Candida auris species. After completing antifungal treatment (three weeks with intravenous amphotericin B 100 mg qd and two weeks of intravenous anidulafungin 100 mg qd), microbiological cultures remained negative and the patient made uneventful recovery. CONCLUSION: Candida auris invasive infection has been mainly described in patients with severe underlying comorbidities and immunocompromise. Multidrug-resistant clusters of Candida auris are increasingly emerging. Hindawi 2022-01-28 /pmc/articles/PMC8816593/ /pubmed/35127186 http://dx.doi.org/10.1155/2022/6007607 Text en Copyright © 2022 Javier Reque et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Reque, Javier
Arlandis, Rosa
Panizo, Nayara
Pascual, Maria José
Perez-Alba, Alejandro
Candida auris Invasive Infection after Kidney Transplantation
title Candida auris Invasive Infection after Kidney Transplantation
title_full Candida auris Invasive Infection after Kidney Transplantation
title_fullStr Candida auris Invasive Infection after Kidney Transplantation
title_full_unstemmed Candida auris Invasive Infection after Kidney Transplantation
title_short Candida auris Invasive Infection after Kidney Transplantation
title_sort candida auris invasive infection after kidney transplantation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8816593/
https://www.ncbi.nlm.nih.gov/pubmed/35127186
http://dx.doi.org/10.1155/2022/6007607
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