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After a few days ago, health authorities confirmed the first case in Chile of a person colonized by Candida auris, a dangerous yeast fungus that is capable of causing serious infections in the bloodstream level or in any human organ, in various sectors of the world. country spread the concern.
Even more so when throughout the world there is an accelerated expansion of this microorganism that in Asia and America there have been several hospital-level outbreaks that have not been controlled because they do not respond to traditional antifungal treatments because that superbugs are resistant to these drugs.
"The case reported in Chile corresponds to that of a citizen of India, who had already traveled to his country to be treated for his diabetes and secondary vascular complications, where he was amputated and, when he returned to Chile, he again presented ischemic lesions in two fingers of the left foot, being treated initially in a private center and then in a public hospital in Santiago, "explained the doctor in infectious medicine at the University of Valparaíso Medical School. and specialist of Carlos van Buren Hospital, Rodrigo Cruz.
"After amputation, cultures were removed from the amputation bed and a plantar ulcer, isolating and identifying – not without difficulty – Candida auris, but not as an infection, but as a colonization," he added.
Cruz added that "this is why he was not treated with antifungal but treated with contact precautions. However, this person received new crops that ultimately did not show the presence of the fungus in his body."
US health authorities are concerned about the rapid spread of an infectious fungus, with a death rate of up to 50% of those infected.
At least 587 cases of the fungus Candida Auris have been confirmed in recent years, and the US Centers for Disease Control and Prevention. The United States (CDC) considers "a serious threat to global health."
"We really do not know why this global microbe came around the world," Tom Chiller, head of the CDC's fungal disease department, told NBC News. "We're seeing this in hospitals: Obviously we have a problem in New York and New Jersey, but we see it in Spain, the United Kingdom, South Africa and elsewhere," he added.
Take resguardos
Given the scenario described, the UV infectologist called for calm, but warned that precautions need to be taken before the eventuality that more cases may be detected in the future.
"This is a dangerous fungus that can be transmitted to humans in the hospital environment through contact with other people or contaminated material, especially in those who have some invasive material in their body, for example a central venous catheter and that have undergone for surgeries or broad-spectrum antibiotics, "he said.
The doctor said that "we will probably have more cases of Candida auris from now on due to the irrational use of antimicrobials and antifungals, and because more and more people are traveling to places where this microorganism is an agent that has increased in frequency. should be treated in a special way to prevent them from infecting other people, "Dr. Cruz said.
Identification in time
For today's specialist, the major problem related to Candida Auris is timely identification and multidrug resistance to commonly used antifungals.
"Not all laboratories have the technical conditions to identify this fungus, but they suspect it and send the crops to the referral center, which is important because their early detection can be critical when it comes to saving lives." infectious diseases.
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