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CASE REPORT
Year : 2008  |  Volume : 51  |  Issue : 2  |  Page : 298-300

Catheter-related candidemia caused by Candida lipolytica in a child with tubercular meningitis


Department of Microbiology, IGMC, Shimla, Himachal Pradesh, India

Correspondence Address:
Santwana Agarwal
C/o Dr. C.P. Agarwal, 3 Oak Wood Place, Jakhoo, Shimla - 171 001, Himachal Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0377-4929.41709

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Candida lipolytica is weakly pathogenic yeast, which is rarely isolated from the blood. We recovered this species from repeated blood samples and in the central venous catheter in a debilitated pediatric patient of tubercular meningitis. Identity was established on the basis of colony morphology and sugar assimilation tests (ID 32C assimilation profile). The fungemia and associated fever subsided after the removal of catheter and amphotericin B therapy. The data suggest that though of low virulence and usually a contaminant, C. lipolytica is emerging yeast pathogen in cases of catheter-related candidemia. Pathogenicity is indicated by isolation from repeated samples as in our case. Intensive therapy is recommended in cases not resolving spontaneously or responding to removal of catheter alone.


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