Is the risk of recurrence common with Candida auris?

Question

Hello doctor,

I was diagnosed with Candida auris following a stay in the ICU for septic shock. The infection was resistant to standard antifungal treatments, and now I am concerned about the risk of recurrence.

Could this fungus remain in my body or potentially colonize internal organs even after treatment? Should I undergo regular testing, even without symptoms? Also, what does the latest research say about long-term eradication or vaccine development? Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

Candida auris is a fungus (yeast) type that can cause serious infections in humans. It can persist on the skin or within the body, even after treatment. It is particularly known for colonizing the skin, mucous membranes, and occasionally internal organs, especially in individuals with weakened immune systems.

Even after successful treatment, some patients may remain colonized without symptoms, meaning the fungus remains on the body’s surface.

The various symptoms of Candida auris infection:

Symptoms depend on where the infection occurs. It most commonly causes bloodstream infections, but can also affect wounds, ears, and internal organs.

If in the bloodstream (candidemia):

Fever and chills that do not improve with antibiotics.
Low blood pressure (especially in ICU (Intensive Care Unit) patients).
Rapid heart rate.
General fatigue or weakness.
Sepsis (a serious and potentially life-threatening condition that happens when the body’s response to an infection goes out of control).

If in other body sites:

Ear infections – pain, discharge, or hearing loss.
Wound infections – redness, swelling, pus, or delayed healing.
A urinary tract infection occurs when bacteria enter the urinary system and cause a burning sensation, urgency, or discomfort.

Routine screening (such as skin swabs, which are a simple medical test used to collect a sample of microorganisms like bacteria or fungi from the surface of the skin, or blood tests) is typically only recommended if you develop new symptoms, are being hospitalized, or are scheduled for invasive procedures.

Currently, no approved vaccines for Candida auris exist, though early research is underway exploring potential vaccine options.

To reduce your risk of reinfection, it is important to practice good hygiene, attend follow-up appointments, and always inform healthcare providers about your prior diagnosis, especially before any hospital stay.

I hope this helps.

Please revert in case of further queries.

Thank you.