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Can a Common Medical Practice Transform Candida Infections From Benign to Deadly?
Joan Stephenson, PhD
JAMA. 2001;286:2531-2532.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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San FranciscoNew research hints that a common medical practicethe use of heparin in intravascular catheters to discourage blockages by blood clotsmay sometimes inadvertently trigger events that transform a benign fungal infection into a deadly illness.
The microbe in question is Candida albicans, a yeast that often harmlessly colonizes patients. But C albicans has a darker side: it is also the leading cause of invasive fungal disease in premature infants and others with weakened immune systems, such as individuals infected with HIV, people recovering from surgery, and cancer or bone marrow transplantation patients.
What transforms this microbial Dr Jekyll into a deadly Mr Hyde? Although many factors are likely to be involved, the new findingsthough preliminarysuggest that heparin in intravascular catheters may play a role by triggering a series of events that result in a life-threatening toxic shock-like reaction.
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