Candida pelliculosa, Case report, Echinocandins, Outbreak, Intensive care unit
Citation Information :
Yadav S, Sharma A, Kothari N, Jain V, Goyal S, Khatri M, Nare T. Candida pelliculosa Infection in Adults Admitted in Intensive Care Unit of Tertiary Care Center: Should We Treat or Not?. 2023; 2 (5):124-127.
Introduction:Candida pelliculosa (C. pelliculosa) infection has been reported as an agent of healthcare-associated candidemia in the neonatal intensive care unit (ICU) but is less commonly reported in critically ill adults.
Case description: We reported two cases in our adult ICU who were found to have this uncommon infection. The first patient was a 25-year-old female with preeclampsia who underwent emergency lower segment cesarean section (LSCS) for abruption placentae and showed signs of sepsis. On examining her blood cultures, we could isolate C. pelliculosa and start her on anti-fungal treatment, to which she responded appropriately. The second case was of a 57-year-old male with pituitary apoplexy on steroid therapy whose surveillance blood culture was also flagged for C. pelliculosa. However, he was not started on any treatment. We try to discuss the difference in approach to treatment in both cases, though they flagged for the same organism.
Conclusion: These cases further emphasize the necessity of source control, as C. pelliculosa infection has been linked to outbreaks.
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