First report of sporadic cases of Candida auris in Colombia

Parra-Giraldo, Claudia M.; Valderrama, Sandra L.; Cortes-Fraile, Gloria; Garzón, Javier R.; Ariza, Beatriz E.; Morio, Florent; Linares-Linares, Melva Y.; Ceballos-Garzón, Andrés; de la Hoz, Alejandro; Hernandez, Catalina; Alvarez-Moreno, Carlos; Le Pape, Patrice

doi:10.1016/j.ijid.2018.01.034

Cited by 74Antifungal resistance and susceptibilityYeasts and Rust Fungi StudiesFungal Infections and Studies

First report of sporadic cases of Candida auris in Colombia

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Parra-Giraldo, Claudia M., Valderrama, Sandra L., Cortes-Fraile, Gloria, Garzón, Javier R., Ariza, Beatriz E., Morio, Florent, Linares-Linares, Melva Y., Ceballos-Garzón, Andrés +4 more·2018·International Journal of Infectious Diseases

DOI 10.1016/j.ijid.2018.01.034

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Abstract

BACKGROUND: Candida auris is a recently reported Candida species that is phenotypically similar to Candida haemulonii and related to hospital outbreaks. This organism can be misidentified as Candida haemulonii, Candida famata, Candida catenulata, or Rhodotorula glutinis by phenotypic approaches. Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) and DNA sequence analysis using internal transcribed spacer rDNA bar-coding provide an accurate identification. CASE REPORTS: Three cases of C. auris infection in patients with risk factors for fungal infection (one admitted to the intensive care unit, one with lymphoma, and one with HIV; all three with previous antibiotic use) are reported; these infections were not epidemiologically related. Yeast isolates were recovered from blood, ocular secretion, and bronchoalveolar lavage and were misidentified as C. catenulata and Candida albicans by the phenotypic MicroScan method. The isolates were confirmed to be C. auris by means of MALDI-TOF MS and DNA sequence analysis. Antifungal susceptibility testing was performed on these C. auris isolates, which exhibited high minimum inhibitory concentrations to triazoles and amphotericin B. One patient survived and the other two died. Only one of these deaths was related to fungemia. CONCLUSIONS: C. auris is an emerging and opportunistic multidrug-resistant human pathogen. It is necessary to strengthen measures to achieve an accurate and quick identification and also to avoid its dissemination. This will require improvements in health and infection control measures, as well as the promotion of antifungal stewardship in healthcare facilities.

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C. auris skin colonization frequently occurs in patients recently exposed to prolonged courses of broad-spectrum antibiotics, particularly carbapenems and vancomycin, with 43.3% of colonized patients treated with carbapenems, and 41.7% with vancomycin.
“C. auris skin colonization frequently occurs in patients recently exposed to prolonged courses of broad-spectrum antibiotics, particularly carbapenems and vancomycin, with 43.3% of colonized patients treated with carbapenems, and 41.7% with vancomycin [40–43,45–47].”
From Host–Candida auris interactions in the skin (2026) · cites this paper as [47]

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Candida auris infection in the central catheter of a patient without sepsis symptoms
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RETROSPECTIVE RE- IDENTIFICATION OF CANDIDA STRAINS BY MALDI-TOF IN SEEK OF CANDIDA AURIS
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Authors: Parra-Giraldo, C. M., Valderrama, S. L., Cortes-Fraile, G., Garzón, J. R., Ariza, B. E., Morio, F., Linares-Linares, M. Y., Ceballos-Garzón, A., de la Hoz, A., Hernandez, C., Alvarez-Moreno, C., & Le Pape, P.
Affiliations: Pontificia Universidad Javeriana (CO)
Cibles et Médicaments des Infections et de l'Immunité (FR)
ORCID: Parra-Giraldo, Claudia M.
Valderrama, Sandra L.
Garzón, Javier R.
Morio, Florent
Ceballos-Garzón, Andrés
Alvarez-Moreno, Carlos
Venue: International Journal of Infectious Diseases
Publisher: Elsevier BV
Published: 2018-04
Volume: 69
Pages: 63-67
ISSN: 1201-9712 (ISSN-L)
DOI: 10.1016/j.ijid.2018.01.034
OpenAlex: W2787258916
Cited by: 74
References: 28
Citations by year: 2026: 6 · 2025: 5 · 2024: 2 · 2023: 9 · 2022: 7 · 2021: 11 · 2020: 14 · 2019: 16 · 2018: 4
FWCI: 8.52
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by-nc-nd
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
creativecommons.org/licenses/by-nc-nd/4.0/ (vor)
Locations: International Journal of Infectious Diseases (publishedVersion, cc-by-nc-nd)
PubMed (publishedVersion)
HAL (submittedVersion, cc-by-nc-nd)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Repositorio Institucional (Pontificia Universidad Javeriana) (submittedVersion, cc-by-nc)
Funders: Hospital Universitario San Ignacio (2014-52)
Pontificia Universidad Javeriana (00006457)
Topics: Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Yeasts and Rust Fungi Studies
Health Sciences › Medicine › Epidemiology › Fungal Infections and Studies
Keywords: Candida auris, Candida haemulonii, MALDI-TOF mass spectrometry, antifungal susceptibility, triazole resistance, amphotericin B, fungemia, opportunistic fungal infection, multidrug resistance, antifungal stewardship, intensive care unit, lymphoma, HIV, Colombia
MeSH terms: Aged, Antifungal Agents, Candida, Candida albicans, Candidiasis, Colombia, Disease Outbreaks, Female, Humans, Male, Microbial Sensitivity Tests, Middle Aged, Phenotype, Triazoles, Infection Control, Sequence Analysis, DNA, Drug Resistance, Multiple, Fungal

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First report of sporadic cases of Candida auris in Colombia

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