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infection in the central catheter of a patient without sepsis symptoms. | LitMetric

infection in the central catheter of a patient without sepsis symptoms.

Colomb Med (Cali)

Universidad del Valle, Facultad de Salud, Departmento de Medicina Interna, Cali, Colombia.

Published: December 2019

AI Article Synopsis

  • - A new yeast species is causing concern due to its resistance to common antifungal treatments and potential to spread in hospital settings, often being misidentified by standard methods.
  • - The first case of this yeast was discovered in Cali, Colombia, in a patient with rheumatoid arthritis; it was initially misidentified but correctly identified using advanced technology (MALDI-TOF MS).
  • - This case adds to the understanding of how this yeast behaves in patients with existing health issues, indicating it might act differently than previously observed strains.

Article Abstract

Background: is an emerging yeast frequently reported as resistant to multiple antifungal drugs commonly used to treat infections. This specie can colonize the patient's skin and has great ability for producing outbreaks in hospitals. is phylogenetically related to other species, can be misidentified using conventional biochemical or commercial methods and requires specific technology for its identification.

Case Report: We report the first isolate of in Cali, Colombia, from a central venous catheter in a 37-year-old patient with rheumatoid arthritis and endocarditis who did not have symptoms of sepsis. The yeast was initially misidentified as using the Phoenix system and subsequently identified as by matrix-assisted laser desorption/ionization-time-of-flight mass spectrometry (MALDI-TOF MS). The broth microdilution method was used to determine the minimum inhibitory concentration; the isolate was susceptible to fluconazole, itraconazole, voriconazole and amphotericin B.

Conclusions: This report contributes to knowledge of the epidemiology of infections in individuals with underlying disease and describes an isolate with a behavior different from what is usually reported.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7232945PMC
http://dx.doi.org/10.25100/cm.v50i4.4248DOI Listing

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