According to reports, this fungus was detected in a catheter tip sample of a patient in the adult intensive care unit of Bahia State Hospital. Brazil's health authorities say experts are concerned that some strains are resistant to three main types of antifungal drugs. This fungus can cause invasive infections, including blood infections, and its superimposed complications may be fatal.
Brazil's Ministry of Health has set up a working group to study infected cases, and suggested that all health departments strengthen laboratory testing of this fungus. Candida auricula was first discovered in Japan in 2009, and now it has been detected in five continents. In 20 13, the first case of this fungus appeared in Britain, and in 20 19, this fungus broke out in British hospitals, resulting in 200 infections and 8 deaths. The first case of Candida auricula in the United States appeared on 20 16. ?
Candida auricula can not only cause symptomatic infection, but also carry it asymptomatic in the body. Candida auricula infection mainly involves hospitalized cases, and the high-risk population is patients with severe chronic basic diseases or immunosuppression (such as diabetes, chronic kidney disease, HIV infection, tumors, etc.). ); Newborns, patients with intubation or indwelling catheter, surgical patients and patients using broad-spectrum antibiotics or antifungal drugs can also be infected. Healthy people generally don't get candida auricula. Symptoms caused by Candida auricula depend on the site of infection, including bloodstream infection, wound infection and ear infection. Among them, bloodstream infection is the most serious, and the mortality rate can reach 30-40%.
At present, the fungus is mainly resistant to fluconazole, but the resistance to other antifungal drugs varies from strain to strain. At present, there are strains resistant to three main antifungal drugs. Most cases of candida auricula infection can be treated with echinocandin antifungal drugs, and cases of multidrug-resistant candida auricula infection can be treated with high dose and various antifungal drugs.