Open AccessCatheter-related candidemia caused by <i>Candida lipolytica</i> in a child with tubercular meningitis
Author(s) -
Santwana Agarwal,
Kamlesh Thakur,
Anil Kanga,
Gagandeep Singh,
Priyanka Gupta
Publication year - 2008
Publication title -
indian journal of pathology and microbiology/indian journal of pathology and microbiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.217
H-Index - 31
eISSN - 0974-5130
pISSN - 0377-4929
DOI - 10.4103/0377-4929.41709
Subject(s) - fungemia , meningitis , amphotericin b , central venous catheter , catheter , microbiology and biotechnology , medicine , isolation (microbiology) , biology , antifungal , surgery
Candida lipolytica is weakly pathogenic yeast, which is rarely isolated from the blood. We recovered this species from repeated blood samples and in the central venous catheter in a debilitated pediatric patient of tubercular meningitis. Identity was established on the basis of colony morphology and sugar assimilation tests (ID 32C assimilation profile). The fungemia and associated fever subsided after the removal of catheter and amphotericin B therapy. The data suggest that though of low virulence and usually a contaminant, C. lipolytica is emerging yeast pathogen in cases of catheter-related candidemia. Pathogenicity is indicated by isolation from repeated samples as in our case. Intensive therapy is recommended in cases not resolving spontaneously or responding to removal of catheter alone.