Two Cases of the Emerging Candida auris in a university hospital from Saudi Arabia

Candida auris is an opportunistic multidrug-resistant pathogen that was first isolated in 2009 and has since been reported from about 30 countries. In Saudi Arabia, only four cases of C. auris have previously been reported; here, we report two new cases of this infection. Both patients were polymorb...

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Main Authors: Reem Al-Jindan, Doaa M Al-Eraky
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Saudi Journal of Medicine and Medical Sciences
Subjects:
Online Access:http://www.sjmms.net/article.asp?issn=1658-631X;year=2021;volume=9;issue=1;spage=71;epage=74;aulast=Al-Jindan
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author Reem Al-Jindan
Doaa M Al-Eraky
author_facet Reem Al-Jindan
Doaa M Al-Eraky
author_sort Reem Al-Jindan
collection DOAJ
description Candida auris is an opportunistic multidrug-resistant pathogen that was first isolated in 2009 and has since been reported from about 30 countries. In Saudi Arabia, only four cases of C. auris have previously been reported; here, we report two new cases of this infection. Both patients were polymorbid and had long hospitalization periods with recurrent intensive care unit (ICU) admissions. The findings of the tissue/blood cultures and antimicrobial therapy protocols are explained in the case report. Urine culture in both cases was positive for C. auris, and the colonies grew well at 42°C. The fungal isolates were confirmed by matrix-assisted laser desorption ionization time-of-flight mass spectrometry. The first patient was treated with the recommended dose of caspofungin, but he passed away. The second patient was also planned to be treated with caspofungin, but he passed away before the treatment could be initiated. The present cases further corroborate signs of a growing number of reports of C. auris in patients with high-risk factors, such as hospitalization in ICU, multiple chronic conditions and prolonged antimicrobial treatment exposure. It also highlights the need for hospitals to further improve their infection control practices to prevent nosocomial infections such as C. auris.
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spelling doaj.art-e1fb03eefcaa424399752943dcf547c02022-12-21T22:32:16ZengWolters Kluwer Medknow PublicationsSaudi Journal of Medicine and Medical Sciences1658-631X2021-01-0191717410.4103/sjmms.sjmms_449_19Two Cases of the Emerging Candida auris in a university hospital from Saudi ArabiaReem Al-JindanDoaa M Al-ErakyCandida auris is an opportunistic multidrug-resistant pathogen that was first isolated in 2009 and has since been reported from about 30 countries. In Saudi Arabia, only four cases of C. auris have previously been reported; here, we report two new cases of this infection. Both patients were polymorbid and had long hospitalization periods with recurrent intensive care unit (ICU) admissions. The findings of the tissue/blood cultures and antimicrobial therapy protocols are explained in the case report. Urine culture in both cases was positive for C. auris, and the colonies grew well at 42°C. The fungal isolates were confirmed by matrix-assisted laser desorption ionization time-of-flight mass spectrometry. The first patient was treated with the recommended dose of caspofungin, but he passed away. The second patient was also planned to be treated with caspofungin, but he passed away before the treatment could be initiated. The present cases further corroborate signs of a growing number of reports of C. auris in patients with high-risk factors, such as hospitalization in ICU, multiple chronic conditions and prolonged antimicrobial treatment exposure. It also highlights the need for hospitals to further improve their infection control practices to prevent nosocomial infections such as C. auris.http://www.sjmms.net/article.asp?issn=1658-631X;year=2021;volume=9;issue=1;spage=71;epage=74;aulast=Al-Jindancandida aurismultidrug resistancenosocomial infectionsaudi arabia
spellingShingle Reem Al-Jindan
Doaa M Al-Eraky
Two Cases of the Emerging Candida auris in a university hospital from Saudi Arabia
Saudi Journal of Medicine and Medical Sciences
candida auris
multidrug resistance
nosocomial infection
saudi arabia
title Two Cases of the Emerging Candida auris in a university hospital from Saudi Arabia
title_full Two Cases of the Emerging Candida auris in a university hospital from Saudi Arabia
title_fullStr Two Cases of the Emerging Candida auris in a university hospital from Saudi Arabia
title_full_unstemmed Two Cases of the Emerging Candida auris in a university hospital from Saudi Arabia
title_short Two Cases of the Emerging Candida auris in a university hospital from Saudi Arabia
title_sort two cases of the emerging candida auris in a university hospital from saudi arabia
topic candida auris
multidrug resistance
nosocomial infection
saudi arabia
url http://www.sjmms.net/article.asp?issn=1658-631X;year=2021;volume=9;issue=1;spage=71;epage=74;aulast=Al-Jindan
work_keys_str_mv AT reemaljindan twocasesoftheemergingcandidaaurisinauniversityhospitalfromsaudiarabia
AT doaamaleraky twocasesoftheemergingcandidaaurisinauniversityhospitalfromsaudiarabia