Background
Candida auris
is a pathogen first found in external ear canal, becoming a major threat to global health. Here, we describe a candidemia case caused by a novel drug-resistant
Candida auris
strain.
Case Presentation
An 80-year-old patient, with multiple serious medical conditions, was suffered from candidemia caused by
Candida auris
, died 9 days after admission in our hospital. Phylogenetic analysis indicates that this
C. auris
isolate (designated BJCA003) belongs to the South Asian clade, carries the Y132F mutation in the protein Erg11. And antibiotic susceptibility test indicated that BJCA003 is resistant to fluconazole and amphotericin B, not susceptible to caspofungin. In addition, this strain has multiple colony and cellular morphologies under different culture conditions.
Conclusion
Strain BJCA003 is a novel drug resistant
C. auris
strain in mainland China, the Y132F mutation in Erg11 may attribute to fluconazole-resistance, alarming that we still face more challenges about
C. auris.