Central line-associated blood stream infection (CLABSI) due to Candida sojae in an infant with short bowel syndrome: The first human case report
Nahed Abdel-Haq,
Basim I. Asmar,
Jocelyn Y. Ang,
Girija Natarajan,
Marilynn Fairfax,
Hossein Salimnia
Affiliations
Nahed Abdel-Haq
Division of Infectious Diseases, Children’s Hospital of Michigan, Detroit, MI, USA; Department of Pediatrics, Central Michigan University, Mount Pleasant, MI, USA; Department of Pediatrics, Wayne State University, Detroit, MI, USA; Correspondence to: Division of Infectious Diseases, Children’s Hospital of Michigan, 3901 Beaubien Blvd, Detroit, MI 48201, USA.
Basim I. Asmar
Division of Infectious Diseases, Children’s Hospital of Michigan, Detroit, MI, USA; Department of Pediatrics, Central Michigan University, Mount Pleasant, MI, USA; Department of Pediatrics, Wayne State University, Detroit, MI, USA
Jocelyn Y. Ang
Division of Infectious Diseases, Children’s Hospital of Michigan, Detroit, MI, USA; Department of Pediatrics, Central Michigan University, Mount Pleasant, MI, USA; Department of Pediatrics, Wayne State University, Detroit, MI, USA
Girija Natarajan
Division of Neonatology, Children’s Hospital of Michigan, Detroit, MI, USA; Department of Pediatrics, Central Michigan University, Mount Pleasant, MI, USA; Department of Pediatrics, Wayne State University, Detroit, MI, USA
Marilynn Fairfax
Department of Pathology, Wayne State University, USA; Detroit Medical Center University Laboratories, Detroit, MI, USA
Hossein Salimnia
Department of Pathology, Wayne State University, USA; Detroit Medical Center University Laboratories, Detroit, MI, USA
Central line associated blood stream infections (CLABSIs) in infants and children with intestinal failure due to short bowel syndrome may be caused by different organisms due to intestinal translocation and skin contamination. We report what we believe the first case of candidemia in an infant with short bowel syndrome caused by the environmental yeast Candida sojae that was initially misidentified as Candida tropicalis. We discuss its possible sources including a central venous catheter (CVC) and gut translocation and the differences between the two Candida species.
