Thursday, 25 July 2019 22:06

"Superfungus" cases continue to rise

Written by Dr. Daliah Wachs
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The CDC is now reporting 685 confirmed clinical cases of the fungal infection, Candida auris (C. auris), that unfortunately is resistant to multiple types of antifungal drugs. Moreover another 30 cases are being monitored who were in contact with those infected.  This spike is very worrisome.

 

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States reporting C. auris infections include:

  • New York
  • New Jersey
  • Indiana
  • Illinois
  • Massachusetts
  • Maryland
  • Oklahoma
  • California
  • Connecticut
  • Florida
  • Texas
  • Virginia

The majority of the cases are in New York, Illinois and New Jersey.  Many of those infected have died but they did have other comorbid conditions, which could have also contributed to their becoming infected with C. auris to begin with.

Please note that this fungus is different from  the species, Candida albicans, which causes common yeast infections.

When investigators first analyzed facilities reporting outbreaks, they found C. auris had colonized mattresses, beds, chairs, counter surfaces, infusion pumps, and window sills.  By this, the superbug demonstrates its resilience outside a human host.

The super fungus still has some vulnerability to antifungal medication but its resistance is increasing.

  1. auris can cause a variety of infections involving the skin and ear, but most concerning, is sepsis (infection of the bloodstream).  C.  auris was first identified in Japan back in 2009, but upon retrospective review, the CDC states the earliest known strain dates back to 1996. Since then it has been reported in multiple countries including the UK, Israel, South Africa, South Korea, Columbia, Pakistan, Kuwait and Venezuela.

Most hospital disinfectants are currently designed to be antifungal, antibacterial and antiviral.  The CDC has urged healthcare facilities to be diligent in their cleaning practices and to be aware of this “super fungus.”

 

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Daliah Wachs is a guest contributor to GCN news, her views and opinions, medical or otherwise, are her own. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.