1. A case report of fungemia due to Kodamaea ohmeri
- Author
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G. Cadelis, M. Nicolas, K. Diallo, Fabien Gandon, J. C. Gallois, B. Lefevre, B. Hoen, Bodescot, Myriam, Department of Infective and Tropical Diseases, Dermatology and Internal Medicine [Pointe-à-Pitre, Guadeloupe], CHU Pointe-à-Pitre/Abymes [Guadeloupe], Lung diseases unit [Pointe-à-Pitre, Guadeloupe], Laboratory of bacteriology, parasitology and mycology [Pointe-à-Pitre, Guadeloupe], Centre d’Investigation Clinique [Pointe-à-Pitre, Guadeloupe], Institut National de la Santé et de la Recherche Médicale (INSERM)-CHU Pointe-à-Pitre/Abymes [Guadeloupe], Université des Antilles - UFR des sciences médicales Hyacinthe Bastaraud (UA UFR SM), and Université des Antilles (UA)
- Subjects
0301 basic medicine ,medicine.medical_specialty ,Antifungal Agents ,030106 microbiology ,Pulmonary infection ,Case Report ,Kodamaea ohmeri ,Microbial Sensitivity Tests ,lcsh:Infectious and parasitic diseases ,03 medical and health sciences ,chemistry.chemical_compound ,Echinocandins ,0302 clinical medicine ,Medical microbiology ,[SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases ,Drug Resistance, Fungal ,Candida albicans ,medicine ,Humans ,lcsh:RC109-216 ,030212 general & internal medicine ,Diagnostic Errors ,[SDV.MP] Life Sciences [q-bio]/Microbiology and Parasitology ,Fungemia ,Voriconazole ,Aged, 80 and over ,biology ,business.industry ,medicine.disease ,biology.organism_classification ,Dermatology ,Infectious Diseases ,[SDV.MP]Life Sciences [q-bio]/Microbiology and Parasitology ,chemistry ,Saccharomycetales ,[SDV.MHEP.MI] Life Sciences [q-bio]/Human health and pathology/Infectious diseases ,Female ,Caspofungin ,business ,After treatment ,medicine.drug - Abstract
International audience; BACKGROUND:Kodamaea ohmeri is a yeast is frequently mistaken for Candida, which belongs to the same family. This micro-organism has been reported to cause life-threatening infections in humans.CASE PRESENTATION:A 81-year-old woman developed a severe fungemic pulmonary infection due to Kodamaea ohmeri that was identified from bronchoalveolar fluid and blood cultures, which is unusual in immunocompetent patients. Because K. ohmeri was first wrongly identified as Candida albicans, the patient inadequately received caspofungin, which was clinically ineffective, especially as the strain was resistant to echinocandins. Clinical cure was obtained after treatment was switched to voriconazole.CONCLUSIONS:An increasing number of serious infections due to K. ohmeri has been reported in the literature, but the correct identification of this micro-organism remains difficult.
- Published
- 2019
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