Case Report: Emergence of Candida auris in the Indian Ocean Region

Yaël Levy (1) , Guillaume Miltgen (1, 2) , Alexandra Rousseau (1) , Nathalie Lugagne (1) , Laura Teysseyre (1) , Nicolas Traversier (1) , Marie Desnos-Ollivier (3, 4) , Nicolas Allou (1) , Jérôme Allyn (1)

1 CHU La Réunion - Centre Hospitalier Universitaire de La Réunion
2 PIMIT - Processus Infectieux en Milieu Insulaire Tropical
3 Mycologie moléculaire - Molecular Mycology
4 CNRMA - Centre National de Référence Mycoses Invasives et Antifongiques - National Reference Center Invasive Mycoses & Antifungals

Candida auris is an emerging multidrug-resistant yeast that can cause severe infections and spread easily between hospitalized patients, leading to outbreaks in hospital. Here, we report the first four cases of colonization and invasive infection with C. auris reported in the Indian Ocean region. All cases were observed in the French overseas Reunion Island, a very popular destination for European travelers. Three patients had urinary tract or skin colonization, and one had a fatal invasive infection. In three cases, including that of the infected patient, the yeast was not initially identified as C. auris , preventing specific hygiene measures to be implemented as suggested in the December 2016 clinical alert to European healthcare facilities. The infected patient likely acquired C. auris in the intensive care unit from the first colonized patient. This is the first case of C. auris infection and the first potential case of nosocomial transmission of the pathogen to be reported in the French overseas Reunion Island.

Domains: Mycology

Yaël Levy, Guillaume Miltgen, Alexandra Rousseau, Nathalie Lugagne, Laura Teysseyre, et al.. Case Report: Emergence of Candida auris in the Indian Ocean Region. American Journal of Tropical Medicine and Hygiene, 2020, 104 (2), pp.739-743. ⟨10.4269/ajtmh.20-0758⟩. ⟨pasteur-03243549⟩