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Olubiyo R, Chukwumeze F, Lawal AM, Oloruntuyi G, Musoka H, Augustine NA, Abdullahi I, Shehu I, Egwuenu A, Clezy K, Oluyide B, Gomez D, Sherlock M, Lenglet A, Repetto E. Retrospective analysis of fungemia among children in Anka General Hospital, Nigeria, from October 2018 to November 2021: a case series. Oxf Med Case Reports 2023; 2023:omad071. [PMID: 37484557 PMCID: PMC10359058 DOI: 10.1093/omcr/omad071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2022] [Revised: 04/12/2023] [Accepted: 05/21/2023] [Indexed: 07/25/2023] Open
Abstract
Yeast-related bloodstream infections (BSIs) in pediatric patients are associated with severe acute malnutrition (SAM), hematological/oncological malignancies and admission to an intensive care unit. These infections are rarely described from low- and middle-income countries. We describe a case series of pediatric patients diagnosed with severe sepsis and yeast isolated from their blood culture in a conflict-affected area of Nigeria from October 2018 to November 2021. We identified 20 patients with yeast BSIs, among whom 17 were also diagnosed with SAM. We recommend the inclusion of antifungal treatment for empiric treatment guidelines for children with SAM and severe sepsis in similar settings.
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Affiliation(s)
- Ruth Olubiyo
- Correspondence address. No. 11 First Avenue Gwarinpa, Abuja, Nigeria. Tel: +234-8067-6983-97; E-mail:
| | | | | | | | - Honore Musoka
- Medical Department, Médecins Sans Frontières, Anka, Zamfara, Nigeria
| | | | | | - Ismail Shehu
- Microbiology Unit, Noma Children Hospital, Sokoto, Sokoto, Nigeria
| | - Abiodun Egwuenu
- Nigerian Center for Disease Control (NCDC), FCT Abuja, Nigeria
| | - Kate Clezy
- Public Health Department, Médecins Sans Frontières, Operational Centre Amsterdam, The Netherlands
| | - Bukola Oluyide
- Medical Department, Médecins Sans Frontières, Abuja, Nigeria
| | - Diana Gomez
- Public Health Department, Médecins Sans Frontières, Operational Centre Amsterdam, The Netherlands
| | - Mark Sherlock
- Public Health Department, Médecins Sans Frontières, Operational Centre Amsterdam, The Netherlands
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