04-07-2019, 06:12
|
#1
|
Quiet Professional
Join Date: Apr 2008
Location: 18 yrs upstate NY, 30 yrs South Florida, 20 yrs Conch Republic, now chasing G-Kids in NOVA & UK
Posts: 11,901
|
Candida Auris??
An article popped with "concerns" about this fungus.
Quote:
Deadly germs, Lost cures, A Mysterious Infection, Spanning the Globe in a Climate of Secrecy. The rise of Candida auris embodies a serious and growing public health threat: drug-resistant germs.
By Matt Richtel and Andrew Jacobs, April 6, 2019
Last May, an elderly man was admitted to the Brooklyn branch of Mount Sinai Hospital for abdominal surgery. A blood test revealed that he was infected with a newly discovered germ as deadly as it was mysterious. Doctors swiftly isolated him in the intensive care unit.
The germ, a fungus called Candida auris, preys on people with weakened immune systems, and it is quietly spreading across the globe. Over the last five years, it has hit a neonatal unit in Venezuela, swept through a hospital in Spain, forced a prestigious British medical center to shut down its intensive care unit, and taken root in India, Pakistan and South Africa.
Recently C. auris reached New York, New Jersey and Illinois, leading the federal Centers for Disease Control and Prevention to add it to a list of germs deemed “urgent threats.”
The man at Mount Sinai died after 90 days in the hospital, but C. auris did not. Tests showed it was everywhere in his room, so invasive that the hospital needed special cleaning equipment and had to rip out some of the ceiling and floor tiles to eradicate it.
https://www.nytimes.com/2019/04/06/h...GnjBOiqDRjaWX0
|
Two points that seem a little strange:
- lack of awareness across the board
- case tracking pattern
Awareness:
Mayo Clinic Study Implicates Fungus As Cause Of Chronic Sinusitis, Date: September 10, 1999
https://www.sciencedaily.com/release...0910080344.htm
Tracking:
This CDC map looks a little like a BLUE state map (no comedy intended). Seems in infer that sanctuary area(s) are somehow complacent or at least harbor source pathogen carriers?
https://www.cdc.gov/fungal/candida-a...g-c-auris.html
ref: CDC datasheet
https://www.cdc.gov/fungal/candida-a...quNV-zUYYf8-Xs
Question, Do the 18D's have operational awareness/training and have you seen cases OCONUS?
__________________
Go raibh tú leathuair ar Neamh sula mbeadh a fhios ag an diabhal go bhfuil tú marbh
"May you be a half hour in heaven before the devil knows you’re dead"
|
JJ_BPK is offline
|
|
04-07-2019, 09:27
|
#2
|
Quiet Professional
Join Date: May 2008
Location: Idaho
Posts: 1,200
|
I read that article as well. Not a medic but do recall a lot of medical folks, most with military backgrounds, saying it was a matter of "when" not "if" the new resistant strains of "bugs" would start showing up.
__________________
"It is a brave act of valor to condemn death, but where life is more terrible than death, it is then the truest valor to dare to live." -Sir Thomas Browne (1605-1682)
|
TOMAHAWK9521 is offline
|
|
04-07-2019, 10:16
|
#3
|
Quiet Professional
Join Date: Nov 2012
Location: Harrisburg, PA
Posts: 3,834
|
Been saying this for years and have posted some of my work in other threads here. I am advocating a new therapeutic strategy that focuses on activating the innate arm of the immune response to eradicate invading pathogens rather than developing drugs that indiscriminately kill bugs. This requires a whole new way of looking at the problem and that in and of itself is a huge barrier to innovation. But that isn't going to deter me.
__________________
Honor Above All Else
|
Trapper John is offline
|
|
04-08-2019, 06:26
|
#4
|
Quiet Professional
Join Date: Jan 2004
Location: Tampa
Posts: 2,496
|
Quote:
Originally Posted by JJ_BPK
Question, Do the 18D's have operational awareness/training and have you seen cases OCONUS?
|
I would say no - no real "operational need"...
Guy was elderly (not Guy MF Jones...but guy in article)
Immunosuppressed / compromised is the population of choice for the fungal agent
Acquired through hospital stay / admission
"New" discovery of bug
"Bug" is a fungus (yeast), not a bacteria
Fungemia (blood infection with fungus) is an obscure diagnosis which we use special drugs to treat in the intensive care setting.
PA
__________________
Primum non Nocere
"I have hung out in dangerous places a lot over the years, from combat zones to biker bars, and it is the weak, the unaware, or those looking for it, that usually find trouble.
Ain't no one getting out of this world alive. All you can do is try to have some choice in the way you go. Prepare yourself (and your affairs), and when your number is up, die on your feet fighting rather than on your knees. And make the SOBs pay dearly."
The Reaper-3 Sep 04
|
Eagle5US is offline
|
|
04-08-2019, 08:18
|
#5
|
Area Commander
Join Date: Oct 2009
Location: Northeast Utah
Posts: 1,712
|
Quote:
Originally Posted by Eagle5US
I would say no - no real "operational need"...
Guy was elderly (not Guy MF Jones...but guy in article)
Immunosuppressed / compromised is the population of choice for the fungal agent
Acquired through hospital stay / admission
"New" discovery of bug
"Bug" is a fungus (yeast), not a bacteria
Fungemia (blood infection with fungus) is an obscure diagnosis which we use special drugs to treat in the intensive care setting.
PA
|
This info is spot on - as a specialist who works with the severely compromised I can say that yeast/fungal/mold infections are extremely rare in immunocompetent people out walking the streets - those who are hospitalized are at increased risk, but not without other risk factors (open wounds, need for high dose steroids, etc.).
__________________
"The dignity of man is not shattered in a single blow, but slowly softened, bent, and eventually neutered. Men are seldom forced to act, but are constantly restrained from acting. Such power does not destroy outright, but prevents genuine existence. It does not tyrannize immediately, but it dampens, weakens, and ultimately suffocates, until the entire population is reduced to nothing better than a flock of timid, uninspired animals, of which the government is shepherd." - Alexis de Tocqueville
|
PedOncoDoc is offline
|
|
04-09-2019, 05:03
|
#6
|
Quiet Professional
Join Date: Apr 2007
Location: Sirius Channel 23
Posts: 520
|
A guy who works with me has a kid with some kind of lung-fungus issue. Seems to spend more time at Hopkins and NIH then at home. No way for a 12YO to live, but the kid is a fighter.
__________________
SFA D-7914
Jump Street Never Ends
“There is a road, no simple highway, between the dawn and the dark of night, and if you go, no one may follow, that path is for your steps alone”
"Draw unto others as they have been drawn to you"
|
2018commo is offline
|
|
Currently Active Users Viewing This Thread: 1 (0 members and 1 guests)
|
|
Posting Rules
|
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts
HTML code is Off
|
|
|
All times are GMT -6. The time now is 00:59.
|
|
|