关键词: Candida auris Kansas dog phylogeny resistance zoonotic transmission

Mesh : Dogs Humans Animals Antifungal Agents / pharmacology therapeutic use Candida Candidiasis / microbiology Candida auris Kansas Mouth Mammals Microbial Sensitivity Tests

来  源:   DOI:10.1128/mbio.03080-23   PDF(Pubmed)

Abstract:
Candida auris is an emerging human fungal pathogen, first described in Japan in 2009, and first detected in the United States in 2016. Here, we report the first-ever description of C. auris colonizing a human pet, the first identification of C. auris in a non-human mammal in the United States and the first C. auris isolate from the state of Kansas. While analyzing the oral mycobiome of dogs from a shelter in Kansas, the oral swab from one dog was found to contain C. auris as well as three other fungal species. The presence of C. auris in a dog suggests the possibility of zoonotic transmission to humans. The isolate is a member of Clade IV, which has been found in patients in Chicago and Florida, while Clades I and III are the most prevalent in the United States. The isolate is resistant to fluconazole, terbinafine, and amphotericin B but susceptible to caspofungin, consistent with the drug-resistant characteristics of many human C. auris isolates. The source of C. auris transient colonization in this dog is unknown, and there is no evidence that it was further transmitted to humans, other dogs in the shelter, or pets in its adopted household. Isolation of C. auris from a dog in Kansas has public health implications as a potential emerging source for the zoonotic spread of this pathogenic fungus, and for the development of antifungal resistance.IMPORTANCECandida auris is an emerging fungal infection of humans and is particularly problematic because it is multi-drug resistant and difficult to treat. It is also known to be spread from person to person by contact and can remain on surfaces for long periods of time. In this report, a dog in a shelter in Kansas is found to be colonized with Candida auris. This is the first study to document the presence of Candida auris on a pet, the first to document C. auris presence on a non-human mammal in the United States, and the first to report an isolate of C. auris within the state of Kansas. The presence of C. auris in a pet dog raises the possibility of zoonotic transmission from pets to human or vice versa.
摘要:
目的:耳念珠菌是一种新出现的人类真菌感染,并且特别成问题,因为它具有多重耐药性且难以治疗。它还已知通过接触在人与人之间传播,并且可以长时间保持在表面上。在这份报告中,堪萨斯州一个收容所里的一只狗被发现被念珠菌定居。这是第一项记录宠物上存在金耳念珠菌的研究,第一个记录在美国非人类哺乳动物身上存在C.auris的人,第一个在堪萨斯州报告了C.auris的分离株。C.auris在宠物狗中的存在增加了人畜共患从宠物传播到人类的可能性,反之亦然。
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