Is Candida auris dangerous during cancer treatment?

Question

Hello doctor,

My brother is 51 years old. He is undergoing cancer treatment and was found to have Candida auris during discharge screening. His oncologist seems very concerned, but did not explain clearly.

What complications could this cause with his already weakened immune system?
How long does the medicine usually take to work?
We are afraid this will delay his next round of chemotherapy. How will it affect cancer treatment?

Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I have gone through your query and understand your concern.

Candida auris (C. auris) is an emerging multidrug-resistant yeast (a type of fungus). C. auris affects ill or immunocompromised patients and is highly transmissible in healthcare settings, especially among individuals undergoing intensive care or cancer treatment.

C. auris can spread through direct person-to-person contact with individuals infected or colonized with C. auris. It can also spread indirectly through the hands or clothing of healthcare personnel, or through contact with contaminated surfaces or medical equipment.

C. auris infections are treatable with antifungal drugs called echinocandins. However, some C. auris infections are resistant to the main types of antifungal medications, making them more difficult to treat. In such cases, multiple antifungal medications at high doses may be required to control the infection.

C. auris can cause a range of infections, from superficial skin infections to severe, life-threatening bloodstream infections. Because the fungus is often resistant to commonly used antifungal medications, treatment can become challenging, particularly in patients with weakened immunity, prolonged hospitalization, or those receiving cancer treatment.

Certain precautions should be taken by the medical team before chemotherapy, as C. auris is highly contagious and can spread rapidly within healthcare settings.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.