Kodamaea ohmeri: A rare yeast causing invasive infections in immunocompromised patients
DOI:
https://doi.org/10.3855/jidc.18517Keywords:
Kodamaea ohmeri, immunocompromised, fungemiaAbstract
Introduction: Kodamaea ohmeri is a rare, recognized pathogen that has previously been isolated from environmental sources. The patients commonly affected by this yeast include immunocompromised as well as immunocompetent patients having several associated risk factors.
Methodology: We report three cases in which K. ohmeri was isolated from blood using Bact T/ALERT. Identification was carried out by MALDI-TOF MS (Vitek-MS, BioMérieux, Marcy-l’Etoile, France) in addition to color characteristics on chromogenic media. The patients had diminished immune response on account of a multitude of comorbidities.
Results: K. ohmeri can be misidentified as Candida tropicalis, Candida albicans, or Candida hemolounii by conventional methods; correct and timely identification can be achieved by MALDI-TOF MS. Antifungal susceptibility breakpoints for K. ohmeri are currently not defined. An Echinocandin was added to the treatment regimen of all three of the cases.
Conclusions: Identification of K. ohmeri using conventional methods is difficult and unusual yeasts should be carefully observed, especially upon prolonged incubation.
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Copyright (c) 2024 Dr. Parul Singh, Smriti Srivastava, Dr. Sharin Varma, Dr. Neha Sharad, Dr. Aparna Ningombam, Dr. Chandan Peddapulla , Prof. Rajesh Malhotra, Prof. Purva Mathur
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