Clinical case of effective treatment of invasive mycosis caused by polyresistant strain of Candida auris

The objective was to demonstrate a clinical case of effective treatment of a patient with invasive mycosis caused by Candida auris with drug resistance to antifungal drugs by a combination of micafungin and amphotericin B lipid complex.Materials and methods. International databases such as MEDLINE,...

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Main Authors: L. V. Selivanova, M. A. Balalaeva, O. V. Dymova, E. V. Chernova, M. V. Lukina, A. A. Krucenko, D. A. Petrenko, S. S. Dmitrieva, A. A. Eremenko
Format: Article
Language:Russian
Published: New Terra Publishing House 2024-08-01
Series:Вестник анестезиологии и реаниматологии
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Online Access:https://www.vair-journal.com/jour/article/view/1039
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author L. V. Selivanova
M. A. Balalaeva
O. V. Dymova
E. V. Chernova
M. V. Lukina
A. A. Krucenko
D. A. Petrenko
S. S. Dmitrieva
A. A. Eremenko
author_facet L. V. Selivanova
M. A. Balalaeva
O. V. Dymova
E. V. Chernova
M. V. Lukina
A. A. Krucenko
D. A. Petrenko
S. S. Dmitrieva
A. A. Eremenko
author_sort L. V. Selivanova
collection DOAJ
description The objective was to demonstrate a clinical case of effective treatment of a patient with invasive mycosis caused by Candida auris with drug resistance to antifungal drugs by a combination of micafungin and amphotericin B lipid complex.Materials and methods. International databases such as MEDLINE, EMBASE, Web of Science and Scopus until 2023 were used for the analysis.Results. We have demonstrated the effective case of treatment of invasive candidiasis caused by the polyresistent pathogen Candida auris with the combination of micafungin and amphotericin B in the patient who underwent mitral valve replacement, which was complicated by acute aortic dissection, acute thrombosis of the superior mesenteric artery, septic shock and a number of other nosocomial infections.Conclusion. Due to the high resistance of Candida auris to all antifungal drugs currently existing in the world, the combination of several antifungal drugs is an advantage over monotherapy. However, given the lack of approved standards and guidelines for the treatment of patients with this infection, and insufficient clinical experience in the management of such patients, further search for effective treatment regimens for infections caused by Candida auris and the development of new antifungal agents that can overcome the resistance of this pathogen are necessary.
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publishDate 2024-08-01
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series Вестник анестезиологии и реаниматологии
spelling doaj-art-5c1f418120d240069c98ceeb5804aabc2025-08-20T03:18:55ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532024-08-01214859110.24884/2078-5658-2024-21-4-85-91701Clinical case of effective treatment of invasive mycosis caused by polyresistant strain of Candida aurisL. V. Selivanova0M. A. Balalaeva1O. V. Dymova2E. V. Chernova3M. V. Lukina4A. A. Krucenko5D. A. Petrenko6S. S. Dmitrieva7A. A. Eremenko8B. V. Petrovsky National Research Center of SurgerB. V. Petrovsky National Research Center of Surger; I. M. Sechenov First Moscow State Medical University (Sechenov University)B. V. Petrovsky National Research Center of SurgerB. V. Petrovsky National Research Center of SurgerI. M. Sechenov First Moscow State Medical University (Sechenov University)B. V. Petrovsky National Research Center of SurgerB. V. Petrovsky National Research Center of SurgerB. V. Petrovsky National Research Center of SurgerB. V. Petrovsky National Research Center of Surger; I. M. Sechenov First Moscow State Medical University (Sechenov University)The objective was to demonstrate a clinical case of effective treatment of a patient with invasive mycosis caused by Candida auris with drug resistance to antifungal drugs by a combination of micafungin and amphotericin B lipid complex.Materials and methods. International databases such as MEDLINE, EMBASE, Web of Science and Scopus until 2023 were used for the analysis.Results. We have demonstrated the effective case of treatment of invasive candidiasis caused by the polyresistent pathogen Candida auris with the combination of micafungin and amphotericin B in the patient who underwent mitral valve replacement, which was complicated by acute aortic dissection, acute thrombosis of the superior mesenteric artery, septic shock and a number of other nosocomial infections.Conclusion. Due to the high resistance of Candida auris to all antifungal drugs currently existing in the world, the combination of several antifungal drugs is an advantage over monotherapy. However, given the lack of approved standards and guidelines for the treatment of patients with this infection, and insufficient clinical experience in the management of such patients, further search for effective treatment regimens for infections caused by Candida auris and the development of new antifungal agents that can overcome the resistance of this pathogen are necessary.https://www.vair-journal.com/jour/article/view/1039invasive candidiasiscandida aurismycosiscandidemiaantifungal drugs
spellingShingle L. V. Selivanova
M. A. Balalaeva
O. V. Dymova
E. V. Chernova
M. V. Lukina
A. A. Krucenko
D. A. Petrenko
S. S. Dmitrieva
A. A. Eremenko
Clinical case of effective treatment of invasive mycosis caused by polyresistant strain of Candida auris
Вестник анестезиологии и реаниматологии
invasive candidiasis
candida auris
mycosis
candidemia
antifungal drugs
title Clinical case of effective treatment of invasive mycosis caused by polyresistant strain of Candida auris
title_full Clinical case of effective treatment of invasive mycosis caused by polyresistant strain of Candida auris
title_fullStr Clinical case of effective treatment of invasive mycosis caused by polyresistant strain of Candida auris
title_full_unstemmed Clinical case of effective treatment of invasive mycosis caused by polyresistant strain of Candida auris
title_short Clinical case of effective treatment of invasive mycosis caused by polyresistant strain of Candida auris
title_sort clinical case of effective treatment of invasive mycosis caused by polyresistant strain of candida auris
topic invasive candidiasis
candida auris
mycosis
candidemia
antifungal drugs
url https://www.vair-journal.com/jour/article/view/1039
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AT ovdymova clinicalcaseofeffectivetreatmentofinvasivemycosiscausedbypolyresistantstrainofcandidaauris
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