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March 1, 2024Indian Journal of Medical Microbiology7 citationsOpen Access

Challenges in management of Candida auris meningitis secondary to infected ventriculoperitoneal shunt – A case report

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SSSowmya SridharanApollo HospitalsAGAishwarya GovindaswamyApollo Proton Cancer CentreARAdithyan RajendranApollo Proton Cancer Centre

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Abstract

Meningitis in patients with ventriculo-peritoneal shunt (VP shunt) caused by various species of Candida have been widely described in literature. However, reports describing Candida auris as a cause of meningitis is limited. In this case report we describe a case of multidrug resistant Candida auris meningitis secondary to VP shunt infection successfully treated with intrathecal amphotericin B deoxycholate and intravenous liposomal amphotericin B. This is the second case report of successful treatment of Candida auris meningitis from India. More literature regarding the use of intrathecal/intraventricular echinocandins including optimal dosing and duration of therapy is needed.

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Sridharan et al. (2024) studied this question.

synapsesocial.com/papers/68e7634db6db6435876d95a9https://doi.org/10.1016/j.ijmmb.2024.100555
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