The drug-resistant fungal species Candida auris

Source:  DD News

Subject: Science and Technology

Context: An Indian-led study has warned that Candida auris, a drug-resistant fungal pathogen, is becoming more virulent and spreading globally, with high mortality even after treatment.

About The drug-resistant fungal species Candida auris:

What it is?

  • Candida auris is a multidrug-resistant fungal pathogen that causes severe invasive infections, especially in hospitalised and immunocompromised patients.
  • First identified in 2009, it is now classified as an emerging global health threat due to high fatality rates and treatment failure.

Vector / Reservoir:

  • Primarily healthcare settings such as hospitals and long-term care facilities.
  • Persists on human skin, medical devices, and inanimate surfaces for prolonged periods.

Symptoms:

  • Symptoms vary by site of infection and often resemble bacterial sepsis, making detection difficult.
  • Common signs include fever, chills, low blood pressure, tachycardia, and in severe cases, bloodstream infections (candidemia).

Key features:

  • Multidrug resistance: Resistant to multiple antifungal classes, limiting treatment options.
  • High virulence: Mortality often exceeds 50%, even with therapy.
  • Morphological flexibility: Can switch from yeast form to filamentous growth, aiding invasion.
  • Immune evasion: Adapts rapidly to host immune responses and environmental stress.

Transmission:

  • Spreads through direct contact with infected or colonised individuals (even asymptomatic).
  • Transmitted via contaminated surfaces, medical equipment, and invasive devices like catheters or ventilators.