Catheter-related Candidemia Caused by Candida haemulonii in a Patient in Long-term Hospital Care
Journal of Korean Medical Science
; : 297-300, 2011.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-123275
Responsible library:
WPRO
ABSTRACT
Candida haemulonii, one of the non-albicans Candida species, is an emerging yeast pathogen that is known to be resistant to amphotericin B and other antifungal agents such as azoles. These anti-fungal agents have often been associated with clinical treatment failure, so no treatment regimen has been clearly established for invasive C. haemulonii infections. We investigated a catheter-related infection of C. haemulonii candidemia in an adult patient in long-term hospital care. In the early stages, the candidemia remained persistent despite treatment with fluconazole. However, after changing the antifungal agent to caspofungin, the candidemia was resolved. Fluconazole and amphotericin B are not reliable empirical antifungal agents for invasive C. haemulonii infections, as shown in previous case reports. An echinocandin such as caspofungin may be an appropriate empirical choice of antifungal agent for an invasive C. haemulonii infection.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Phylogeny
/
Candida
/
Candidiasis
/
Fluconazole
/
Amphotericin B
/
Long-Term Care
/
Echinocandins
/
Catheter-Related Infections
/
Hospitals
/
Antifungal Agents
Limits:
Aged
/
Humans
/
Male
Language:
English
Journal:
Journal of Korean Medical Science
Year:
2011
Document type:
Article