Wickerhamomyces anomalous: A Rare Cause of Fungemia Causing Febrile Neutropenia in Acute Lymphoblastic Leukemia

Candida bloodstream infection is the major cause of increased morbidity and mortality (20–49%) in hospitalized patients in both paediatric and adult age groups. Due to the increase in the number of immunocompromised patients, other important species such as Trichosporon asahii and Debaryomyces hanse...

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Main Authors: Vibha Mehta, Aroop Mohanty, Suneeta Meena, J. S. Rahul, Nath Uttam Kumar, Debranjani Chattopadhyay, Anamika Bakliwal, Ranjana Choudhary, Pratima Gupta
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2020/8847853
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author Vibha Mehta
Aroop Mohanty
Suneeta Meena
J. S. Rahul
Nath Uttam Kumar
Debranjani Chattopadhyay
Anamika Bakliwal
Ranjana Choudhary
Pratima Gupta
author_facet Vibha Mehta
Aroop Mohanty
Suneeta Meena
J. S. Rahul
Nath Uttam Kumar
Debranjani Chattopadhyay
Anamika Bakliwal
Ranjana Choudhary
Pratima Gupta
author_sort Vibha Mehta
collection DOAJ
description Candida bloodstream infection is the major cause of increased morbidity and mortality (20–49%) in hospitalized patients in both paediatric and adult age groups. Due to the increase in the number of immunocompromised patients, other important species such as Trichosporon asahii and Debaryomyces hansenii are emerging. One such organism, Wickerhamomyces anomalous, previously known as Pichia anomala (teleomorph stages of several Candida species), is increasingly being reported as a cause of fungemia in neonatal intensive care units and is now increasingly being reported in a lot of immunosuppressive conditions such as interstitial lung disease, endocarditis, enteritis, corticosteroids, and chemotherapy uptake. Though this yeast is ubiquitous in nature, systemic infections from isolated cases and sporadic outbreaks with high mortality have been reported in ICUs, which emphasize the importance to consider this fungus within the diagnostic possibilities. Here, we report a case of catheter-related bloodstream infection (CRBSI) caused by W. anomalus in a leukemic immunosuppressed patient who was successfully treated by early detection and treatment of this emerging fungus.
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institution Kabale University
issn 2090-6625
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language English
publishDate 2020-01-01
publisher Wiley
record_format Article
series Case Reports in Infectious Diseases
spelling doaj-art-08795c9ac06a4794a1c8a8a5e7aa6cfc2025-02-03T01:00:11ZengWileyCase Reports in Infectious Diseases2090-66252090-66332020-01-01202010.1155/2020/88478538847853Wickerhamomyces anomalous: A Rare Cause of Fungemia Causing Febrile Neutropenia in Acute Lymphoblastic LeukemiaVibha Mehta0Aroop Mohanty1Suneeta Meena2J. S. Rahul3Nath Uttam Kumar4Debranjani Chattopadhyay5Anamika Bakliwal6Ranjana Choudhary7Pratima Gupta8PDCC Hepatic and Transplant Virology, ILBS, New Delhi, IndiaDepartment of Clinical Microbiology, AIIMS, Gorakhpur, IndiaDepartment of Laboratory Medicine, AIIMS, New Delhi, IndiaDepartment of Neuroanaesthesia and Critical Care, AIIMS, New Delhi, IndiaDepartment of Medical Oncology and Haematology, AIIMS Rishikesh, Rishikesh, IndiaDepartment of Medical Oncology and Haematology, AIIMS Rishikesh, Rishikesh, IndiaDepartment of Medical Oncology and Haematology, AIIMS Rishikesh, Rishikesh, IndiaDepartment of Microbiology, AIIMS Rishikesh, Rishikesh, IndiaDepartment of Microbiology, AIIMS Rishikesh, Rishikesh, IndiaCandida bloodstream infection is the major cause of increased morbidity and mortality (20–49%) in hospitalized patients in both paediatric and adult age groups. Due to the increase in the number of immunocompromised patients, other important species such as Trichosporon asahii and Debaryomyces hansenii are emerging. One such organism, Wickerhamomyces anomalous, previously known as Pichia anomala (teleomorph stages of several Candida species), is increasingly being reported as a cause of fungemia in neonatal intensive care units and is now increasingly being reported in a lot of immunosuppressive conditions such as interstitial lung disease, endocarditis, enteritis, corticosteroids, and chemotherapy uptake. Though this yeast is ubiquitous in nature, systemic infections from isolated cases and sporadic outbreaks with high mortality have been reported in ICUs, which emphasize the importance to consider this fungus within the diagnostic possibilities. Here, we report a case of catheter-related bloodstream infection (CRBSI) caused by W. anomalus in a leukemic immunosuppressed patient who was successfully treated by early detection and treatment of this emerging fungus.http://dx.doi.org/10.1155/2020/8847853
spellingShingle Vibha Mehta
Aroop Mohanty
Suneeta Meena
J. S. Rahul
Nath Uttam Kumar
Debranjani Chattopadhyay
Anamika Bakliwal
Ranjana Choudhary
Pratima Gupta
Wickerhamomyces anomalous: A Rare Cause of Fungemia Causing Febrile Neutropenia in Acute Lymphoblastic Leukemia
Case Reports in Infectious Diseases
title Wickerhamomyces anomalous: A Rare Cause of Fungemia Causing Febrile Neutropenia in Acute Lymphoblastic Leukemia
title_full Wickerhamomyces anomalous: A Rare Cause of Fungemia Causing Febrile Neutropenia in Acute Lymphoblastic Leukemia
title_fullStr Wickerhamomyces anomalous: A Rare Cause of Fungemia Causing Febrile Neutropenia in Acute Lymphoblastic Leukemia
title_full_unstemmed Wickerhamomyces anomalous: A Rare Cause of Fungemia Causing Febrile Neutropenia in Acute Lymphoblastic Leukemia
title_short Wickerhamomyces anomalous: A Rare Cause of Fungemia Causing Febrile Neutropenia in Acute Lymphoblastic Leukemia
title_sort wickerhamomyces anomalous a rare cause of fungemia causing febrile neutropenia in acute lymphoblastic leukemia
url http://dx.doi.org/10.1155/2020/8847853
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