Title : Foreign fungus: Candida duobushaemulonii bloodstream infection in an immunocompromised host at Baguio General Hospital & Medical Center: A case report
Candida duobushaemulonii is a yeast that belongs to the Candida haemulonii species complex. Similar to Candida auris which is an emerging global health threat, C. duobushaemulonii is a major concern in the healthcare system as it is often multidrug resistant. Presenting the 1st reported case of C. duobushaemulonii in the Philippines. This is the case of an 80 year old German national, a long standing immunocompromised patient, who received several cycles of broad spectrum antibiotics due to recurrent bouts of nosocomial infections who eventually presented with fungemia. Initial idenitification of the yeast revealed C.auris but on manual biochemical testing reveled C. duobushaemiulonii which was resistant to all available antifungal therapy in this institution and the Philippines for that matter. As healthcare professionals, we have to be vigilant in suspecting and diagnosing this rare fungal infection in order to give prompt and appropriate treatment. Therefore, it is vital to be vigilant in the proper identification and diagnosis of such opportunistic pathogen and to have the specific antimicrobial agents available.