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MEDICAL: DISEASES:
Deadly Fungal Infection that Doctors have been Fearing
now Reported in U.S.
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Deadly Fungal Infection that Doctors have been Fearing
now Reported in U.S.
MARCH 11, 2017 11:05 AM
BY LENA H. SUN
The Washington Post
Sacramento Bee
http://www.sacbee.com/news/nation-world/national/article137943703.html#1
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Nearly three dozen people in the United States have been diagnosed with a
deadly and highly drug-resistant fungal infection since federal health
officials first warned U.S. clinicians last June to be on the lookout for
the emerging pathogen that has been spreading around the world.
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The fungus, a strain of a kind of yeast known as Candida auris, has been
reported in a dozen countries on five continents starting in 2009, where
it was first found in an ear infection in a patient in Japan. Since then,
the fungus has been reported in Colombia, India, Israel, Kenya, Kuwait,
Pakistan, South Korea, Venezuela and the United Kingdom.
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Unlike garden variety yeast infections, this one causes serious
bloodstream infections, spreads easily from person to person in
health-care settings, and survives for months on skin and for weeks on bed
rails, chairs and other hospital equipment. Some strains are resistant to
all three major classes of antifungal drugs. Based on information from a
limited number of patients, up to 60 percent of people with these
infection have died. Many of them also had other serious underlying
illnesses.
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Those at greatest risk are individuals who have been in intensive care for
a long time or who are on ventilators or have central line catheters
inserted into a large vein.
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In the United States, the largest number of infections has been reported
in New York, with at least 28 cases, according to the Centers for Disease
Control and Prevention. Infections have also been reported in Illinois,
Maryland, Massachusetts and New Jersey. Last June, the CDC sent an urgent
alert to clinicians to start looking for the infections, which are
difficult to identify with standard laboratory methods.
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"As soon as we put out that alert, we started to get information about
cases and now we know more about how it spreads and how it's acting," Tom
Chiller, the CDC's top fungal expert, said in an interview Thursday. The
CDC now tracks the number of infections, updating the case count every few
weeks.
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In addition to the 35 infected patients, an additional 18 were carrying
the organism but weren't sickened by it.
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The microbe is among a group of newly emerging drug-resistant threats,
health officials said.
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"These pathogens are increasing, they're new, they're scary and they're
very difficult to combat," said Anne Schuchat, CDC's acting director,
during a briefing in Washington this week about growing antimicrobial
resistance.
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Of the first seven cases that were reported to the CDC last fall, four
patients had bloodstream infections and died during the weeks to months
after the pathogen was identified. Officials said they couldn't be sure
whether the deaths were caused by the infection because all the
individuals had other serious medical conditions. Five patients had the
fungus initially isolated from blood, one from urine, and one from the
ear.
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The infection is still relatively rare. "It's really hitting the sickest
of the sick," Chiller said.
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Also in the news
MEDICAL: CONDITIONS: OBESITY :
FOOD DRINK NUTRITION DIET: DIETING: MEDITERRANEAN DIET :
PAIN:
Mediterranean Diet May Ease Chronic Pain of Obesity
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Mediterranean Diet May Ease Chronic Pain of Obesity
By Richard Monks
Health Day Reporter
March 10, 2017
Montana Standard
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