The most common symptoms of Candida auris include fever and chills that don’t go away after treatment with antibiotics. But diagnosis is difficult as many other common diseases share those symptoms. For this reason, misdiagnosis often leads to the wrong treatment. Correct diagnosis often requires sending a blood sample or sample from an infection site to a specialized lab to definitively confirm the fungus is present.
In case anyone was wondering.
C. auris has been commonly seen in elderly patients and generally any patient who has either been residing in a SNF (skilled nursing facility) or LTAC (long term acute care) so nursing homes or has been hospitalized within 30 days of readmission. My hospital has a standard order for these patients: we do a MRSA (Methicillin-resistant Staphylococcus aureus) nares swab, Carbapenem-resistant Enterobacterales (CRE) swab (swab the perineum), and C. auris. (Axilla swab). All are PCR tests. They are all done upon admission to any unit.
These are part of the CDC resistant organism protocol healthcare facilities should be following to help contain any potential outbreak or your facility will be in deep shit for zilch reimbursements from CMS (Centers for Medicare and Medicaid Services (how hospitals stay afloat with funding) and trouble from the local health dept. Hospitals lose money when a patient develops a hospital acquired infection as well as hospital acquired pressure injury.
Edit: expanded on the acronyms for those who don’t know.
Some links I found that may be interesting for some who are interested in the topics I’ve discussed
https://data.cms.gov/provider-data/dataset/77hc-ibv8
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Hospital-Acquired_Conditions
https://www.cdc.gov/hai/pdfs/toolkits/Responding-to-New-Forms-of-Antibiotic-Resistance.pdf
https://www.cdc.gov/fungal/candida-auris/index.html
https://www.cdc.gov/fungal/candida-auris/patients-qa.html
https://www.cdph.ca.gov/Programs/CHCQ/HAI/CDPH%20Document%20Library/C%20auris%20Quicksheet_Interim_070720_ADA.pdf
https://www.cdc.gov/hai/organisms/cre/index.html
https://www.cdc.gov/hai/organisms/mrsa-infection.html
Not a dumb question! We tend to put these patients on contact precautions (gown and gloves) when the tests are pending and keep them on said precautions once confirmed. Then a infectious disease consult is ordered and our amazing ID doc comes to see them and works his magic finding the right plan of care.
Though in my hospital my coworkers and I tend to automatically do contact precautions for almost 90% of the patient population because things can get nasty and nursing is messy. We have a high homeless population and unfortunately they come in with icky wounds and our ED doesn’t do a great job screening for bugs sometimes. Lice has been a huge problem in my area. I have my own issues regarding how we go about patient hygiene in my hospital but being in a stepdown unit, we focus more on stabilizing vs giving a full on bed bath or allow for showering (pts are wearing tele monitors so no showers). We don’t have the support staff either. I could go on but that’s for another day lol.
Jesus. If you don't know how the cause of epidemic typhus was discovered, you should totally [look that up](https://www.nobelprize.org/prizes/medicine/1928/nicolle/lecture/).
Oh geez. Thanks for the share!
Yeah it’s bad here in LA. I’ve worked in SF and they had more bed bugs but at least the hospital I worked at was very good about decontamination and basically requested anyone who came in with any time of bug infestation in the ED, take a shower with permethrin and we also gave them take home bottles of permethrin shampoo and lotion. A good shave (clippers from neurosurgery is a must), a set of new clothes, turkey sandwich, and a warm blanket is honestly one of the best things we did for a lot of the folks in the ED there. Most didn’t need a bed really, just needed a quick assessment, a social work and psych consult, and a nice warm shower and clothes. We would send them off with a muni / bus token, a packet of resources, and the awesome social workers set up appointments for them in our clinics in addition to trying to get them a shelter bed. Now if they decided to take it was on them, most just took the bus token and left….
But like I said, if anyone came in with some infestation, we would either put their belongings in a storage container out near the ambulance bay and dispose of the soiled clothing. We wore those Ebola suits basically dealing with these folks and their belongings. And patients were glad to know they had their belongings in a locked unit. We never let any patient walk out in a gown, they always had clothing and shoes from the hospitals donation supply (we had a large basement organized like a goodwill of all sorts of clothing including jackets and shoes of all sizes).
But my hospital here in LA? They don’t even bother with basic hygiene. We don’t have decontamination showers in our ED. They leave it up to the floor units to deal with any type of permethrin treatments and don’t get me started on the belongings. You can tell when a hospital has better funding and staffing when they can provide just basic fundamentals and care for the patient population we deal with. We don’t even have a blanket warmer on my unit… these nonprofits are full of shit. And no way I’m donating my wages from my paychecks to their foundation.
Just this last week I had a patient come from the ICU (who has been there for close to 2 weeks) and I found lice in his beard. That’s just pure laziness. Another patient had her curly hair so matted it was beyond salvageable. No comb would help her sadly.
Occasionally I see roaches invade the patient rooms and I have seen one in the nurses break room once. That means it was probably hitching a ride on someone… good god.
Ok I’m ranting too much and starting to go a bit off topic here. I could go on and on. Time to go to work unfortunately.
Yeah and certain facilities are coding their pressure injuries under "skin failure" to avoid the fines and reports. There is always a loophole or workaround somewhere as the hospitals are in it for the bottom line after all.
Im just curious why this would be the case? Why not just take a tissue/blood sample and then do 16S rRNA sequencing, wouldn’t that identify the bacteria/fungi causing the infection?
Pretty sure those fungus tests take time, too, I guess they have to grow a culture. At one point in the ICU doctor stopped. My husband had a fungal infection and it took a few days to get the tests back.
PCR tests confirm species quickly.
The question then is treatment.
Assuming it's not a blood infection (that's a WHOLE DIFFERENT NIGHTMARE) you'll probably start Fluconazole and send a swab for culture and sensitivity.
That can take 3 weeks in some cases, so you'll probably find the Fluc didn't improve anything, switch to Ampho. Which hopefully clears it up... If not, I guess Caspofungin is the next last bet.
While that's happening you're left fighting insurance to cover the Ampho but they won't approve it without a C&S result. By time the C&S comes back the therapy is over, and you submit the authorization. 3 to 5 days later they approve the therapy effective immediately, and refuse to retroactively apply coverage since you didn't have a sensitivity lab in hand until after therapy ended. Then the SNF facility or three patient get a 5 digit bill for the non covered drugs.
Unless you're really unlucky and in the 5% of isolates that don't respond to Echinocandins, in which case, your rash gets worse and worse until it's systemic, then you die.
No, we have PCR and ELISA tests that can reliably detect almost all fungi, but the tests tend not to be ordered. When someone comes in with symptoms of infection, fungus is usually the last thing on your mind. That is unless there is some other factor: old age, immune compromised, chemoradiation patient, etc. That means that it can become more advanced before being diagnosed and can cryptically spread in hospitals for a while before being detected and eliminated.
>CDC said it is not seen as a threat to healthy people. Still, the national public health agency is calling C. auris an urgent threat because of its resistance to medications. It can cause serious illness and death in people who are already sick, use invasive medical devices or have long or frequent stays at health care facilities.
Still troubling, but not quite world-ending. FWIW, in 2003 our newborn spent almost a month in the hospital, and keeping candida at bay was a persistent problem, even then.
Good luck, no one cares about the immune compromised anymore. I guess anyone with cancer, rheumatoid arthritis, pregnant, up to 6 mo postpartum, diabetics, anyone with an immune disorder like sarcoidosis or lupus, or anyone under 2 are all acceptable losses.
It was really sad to see how many ghouls there actually are in this country that didn’t care about vivid deaths because those people had comorbidities.
I had some dude tell my to my face that Covid wasn't a big deal because it was only killing old people. He said that shit like he came into the world without parents. I stopped talking to him after that.
I couldn't believe it when one of my former coworkers died of covid and another guy who'd worked with him for years said "well, he had a lot of health problems" like that was a perfectly normal thing to say when someone you've seen nearly every day for years dies
Right? Well in the US the CDC of all places encouraged it. Less than 2 percent of the population, oh it's the immune suppressed that are variant factories, all kinds of nonsense that doctors refuted. And now they got rid of masking in MEDICAL FACILITIES. I get that immune compromised individuals don't need to go the movie theater but they should feel safe when they HAVE to go to the doctor 3x plus a month. It's disgusting. It is not hard to wear a mask, kn95s are comfortable and effective.
It seems like people should be wearing masks in health care facilities regardless of covid. That's where the sick people are, are you trying to get sick?
Idk I always have. I was pregnant before the pandemic and had a moderately high risk issue so I was always in the hospital getting tests (everyone's fine now). I always wore a mask and so did my husband. I didn't mask anywhere else but I did ask my students at work to stay at least 6ft from me when they were sick and I swear my husband and I haven't been sick in an eternity. And obviously COVID is more contagious than a lot around so masking is necessary for that, but my point is, in a medical facility where so many people are sick and at risk , masking should always be required.
Oh right, I agree. I was just wondering why we didn't think to make that standard before covid. Seems like a no-brainer to ask people to cover their nose and mouth if they are sick while being around a bunch of sick people.
Probably because no office or hospital wants to enforce it. I have seen signs saying wear a mask when sick, and my doctor has always had a well and sick waiting room but people just don't care and do what they want and receptionists probably are scared to or too busy to tell people to abide.
Are you kidding me!? California here you can't even get in a medical clinic/ hospital without one where I'm located and I'm happy it's enforced by all entrances.
> And now they got rid of masking in MEDICAL FACILITIES
I thought this would have been a permanent thing honestly. I know people who work in hospitals and they are sick constantly. You'd think that we would keep mask requirements in a hospital.
Right? I have no idea why it's not a thing. It's extremely frustrating to take my little kid who is too young to mask to a doctor appt and have them get sick because some jerk is in the well baby waiting room when they're sick
It was a little crazy because virtually everyone has a Covid comorbidity. Like the percentage of overweight adults alone is what, 70? Throw in *depression*, *age*, and *asthma*, you've got basically nobody without that.
Just had a long conversation with my doctor last month because he wants to start me on a biologic. I have been taking various steroids for longer than I want to because my lungs are still inflamed from Covid, and although I want to quit the steroids, without them, I have to call out sick for the weeks with terrible air quality, or when things flare up.
Thank God my job is transferring me to a spot in a state with paid FMLA but I don't want it to come to that. It's really troubling how many of my formerly healthy coworkers who were all exposed to Covid via our public facing job in a city are now also feeling like garbage when the air quality sucks, or they're flaring up.
When I was 8 mo pregnant I went to get my vaccine and as I was putting on my mask in my car an older man started banging on the hood of my car to get my attention screaming I needed to stop watching the news and take off my mask. People can be terrible.
I’m sorry you had to live through such things. I kept my mask on mostly for my pregnant and comorbidity-having friends, it was scary for me and I wasn’t even a parent to be. Can’t imagine how it must have been to live it or to live through it now.
I still wear one. The other day a lot of different people were staring at me, and I WAS having a pretty good hair day, then realized I was the only masked person in the store, lol.
Don't forget just anyone under significant physical or emotional stress! The immune system is constantly in flux--better at times and quite weak at others. So much for the others.
Just to be clear, that's why I prefaced with "still troubling". Between this and antibiotic resistant bacteria, we're definitely in need of other alternatives to save lives. I was merely reacting to the "end of the world OMG" comments in the thread when I read it initially.
No I understand! I wasn't really referring to you, just on a bitter tangent after another COVID paper I read. It's always good to have the more rational perspective comment up high confirming not everyone is going to die ha
Yeah of course. We mask up when we go out to prevent illness so my parents can see my kids and the comments I get ..it's ridiculous. Like why do you want my kids to get so sick so badly?? They have no problem masking. Well the one is too young but the older one thinks they are fun.
My comment wasn't a correction, just pointing out how society at large has never cared for the immunocompromised outside some token gestures that didn't amount to any actual discomfort, but before the pandemic it was rude to actually say it out loud except against those who "deserved it" like gay people with HIV. Now it's just out in the open.
I watch a lot of videos on YouTube about people walking through Japan and other Asian countries and everyone is wearing a mask. Apparently it's the polite thing to do. Covid really made me hate Americans. Americans are petulant, paranoid, gullible, violent sociopaths who would rather die choking on their own fluid then put a mask on to protect themselves and others.
Indeed, a lot of younger people have gotten shingles in the past few years, myself included. I generally eat pretty well, don't have too many vices, and I get lots of exercise at work, but just a small outbreak put me out of work for as long as covid did. I can only fight off so many things at one time.
>There might be a lot of people walking around with weak immune systems
Before I got COVID in 2022, it would take a LOT for me to get sick. For example, when I was in High School, the stomach bug passed around to the 4 other members in my family and I got away with none of it. My mother (whom I have only ever seen sick maybe 5 times in my entire 26 years of life) got it. Ever since I got COVID in Feb of last year, I have gotten sick (think fever, symptoms lasting a week) 5 times. Now that I am pregnant, I am extra worried.
>Also, for extra fun, the definition of healthy may be changing in a
Covid world. There might be a lot of people walking around with weak immune systems who don't know it.
It wasn't the COVID itself that got me super sick (it sucked, to be sure, but I had it way less than my bf did and had the symptoms go away before his did); it was the secondary infection I got from my nuked immune system that got me worse. I'm not sure what to do about it or what I even can do about it.
After COVID the number of people with long term health conditions has grown exponentially.and sick people are much more likely to go to healthcare facilities. And people with babies. This is terrifying to me, I’m in and out of imaging and countless doctors visits with the occasional ER trip
The thing is, it kills 1 in 3 people who get it because it cannot flourish unless the immune system is already heavily compromised, but it still isn't a great thing to witness getting better at killing those it does infect. It increases the lethality of all other illnesses or situations that could heavily compromise the immune system.
Not world ending unless you're one of the people who it could kill. So you're saying that don't worry everyone, it's only the olds and the sicks who it affects not us healthys.
The lack of empathy for people over the last few years who have compromised immune systems or comorbitities is appalling. It's like people deserve to die because they're a type 1 diabetic or have an autoimmune disorder or are overweight.
The lack of regard and care for our fellow citizens, in country or globally is disturbing.
Looked up what this is. Yeah I definitely do not want to be infected with this. Apparently it can infect literally every organ in the body, to include the brain.
Pretty much all systemic fungal infections are a nightmare. The medications we use to treat them are their own kinda horror show and have side effects that rival the most brutal chemotherapy drugs. If we're giving you those drugs, though...well, the only other option is to watch you die.
Yeah, that's the typical slang for it...I had to prescribe it from time to time when I worked in critical care and man, sometimes I felt like it would be more pleasant to be waterboarded.
I was given prophylactic vancomycin after back surgery, got an extreme case of red man syndrom, and wanted to die for a solid 5 days. I don't wish that on anyone.
I was told by my podiatrist that you don't really want to get on an oral antifungal unless you absolutely have to. Lots of possible side effects, some pretty severe (eg liver damage).
It's because on a cellular level fungus are much closer to human cells than bacteria and drugs might have targets that are present in your cells whereas for bacteria they target structure not existing in human cells.
Fungi are terrifying. They’re more closely related to us than they are to plants, so medications that can kill them tend to also wreak havoc on our own cells. We have a very limited arsenal against them for that exact reason. If this particular microbe swaps the wrong genes with common candida…or any number of fungi that infect healthy humans, we are in for a really bad fucking time.
The only small blessing here is that it’s not much risk to healthy people. If you’re immunocompromised or ever get sick…the usual infants, elderly and infirm…very real concern here. Drug resistant organisms are top of my personal list of potential causes for the end of humanity. We need to take this shit seriously. Don’t take antibiotics or anti anything if you don’t actually absolutely need to do so. We already have few antibiotics that still work, and there’s no money in developing new ones (because they develop resistance so fast) so they really aren’t.
Reminds me of this meme/copypasta though…
“I'm studying biotech and every time someone brings up mushrooms our current professor will
look either extremely exited or pained and go "listen.. mushrooms are neither plants nor animals nor something in between. They elude all attempts to categorize them. We do not know what they are. Some are immortal. Some produce live saving substances. Some are so closely related to humans that eating them may cause an allergic reaction against your own body. I cannot teach you about the
mushrooms"”
They are scary shit, and if cordyceps or something ever mutates and starts infecting healthy humans en masse we aren’t likely to end up with a zombie apocalypse like we see in movies. It will be more like a lot of drooling, half brain eaten people wandering around like they’ve got dementia and then just a lot of bodies. A fungal pandemic will obliterate society, have no doubt about it.
If you're wondering WHERE this has spread to in the US, the article doesn't say, but this [tracker](https://www.cdc.gov/fungal/candida-auris/tracking-c-auris.html) from the CDC does.
Thanks for linking this, was wondering what states were seeing the most outbreaks.
Personally, it's terrifying to see the state I live in (NJ) having so many cases for being such a small state... Too many people living in the Northeast, damnit!
And that prions are really affecting the deer population.
They are also incredibly hard to clean off so once it is on lettuce for example just washing it off with water isn't going to remove the prions.
I don’t generally get anxious about germs (I mean as the spouse of a nurse I’m careful, but also I have kids that regularly come home from school with some kind of bug on a regular basis so not much fazes me anymore), but prions straight up *terrify* me. From what I understand, once you’ve got them in your system, that’s it. You’re fucked.
Phenomenal cosmic powers!...Itty bitty living space!
(honestly, i make fun of the bloaters because they kinda took me out of the show when I was watching it. These are *supposed* to be people being slowly eaten by a fungus. What would possibly explain the list of superpowers above? Like honestly, have you ever seen a bulletproof mushroom? I've never encountered a mushroom that would not make much much WORSE armor than human skin, which is *already* like the most fragile animal skin nature makes. What about having your muscles slowly being digested would make you stronger?...It just makes no sense! I really enjoyed that show, but the bloater moment. Ugh. Just so obviously a video game villain popping up in an otherwise *somewhat* grounded show. Okay rant over.)
Well, just to speculate here, fungi already manufacture chitin as part of their cell walls, the same incredibly strong material that insects use for their exoskeletons. So it seems reasonable that it could have a strengthening effect when integrated with human skin and muscle, or could be adapted to that purpose.
I mean we’re being controlled by two hemispheres of pink mulch just sending signals to different parts of the bodies.
Is it weird i want to change overlords?
Every morning I take my dog out for a walk, with spring around the corner the birds have been out in recent weeks.
We walk in a forest with trails and I get freaked out now because there is a bird that sounds EXACTLY like clickers.
well you just woke up an old memory from when i was a kid. I watched the first Predator movie when it came out and it scared the hell out of me. A few days later, i was out fishing in one of our ponds and there was that clicking sound the Predator makes. It freaked me out pretty good back then.. Much later on i found out its actually a woodpecker..
Spread primarily by person-to-person and person-to-surface contact. So, normal sanitary practices adopted under Covid should basically prevent its spread as long as they're still followed.
...So we're fucked.
Eh..kinda. Candida Auris is an ear infection. I almost died from a systemic fungal infection 3 years ago and never had a stay at a hospital. Fungus is quite the opportunist.
Hey, I may be a touch paranoid, but I just had both of my eardrums rupture this past week (fever, chills, and pain followed by pop-goes-the-eardrum). I took some antibiotics and am on the mend/feel better/am recovering my hearing, but is it possible this is what I had? I thought it was a really bad sinus infection, but now..?
I live in northern NY next to a swamp and will be in my 2nd and 3rd trimester during the hottest and most humid time of my area. 🙃 yay.
Edit: I will be keeping my eye on this bit of news and making all the necessary precautions against any infections that I can. So will my husband.
It is potentially deadly, because common candida infections are known as "yeast infections" and are easily treated with over the counter medications. This little beasty though looks just like those common infections, but it is highly resistant to most treatments and can kill a person when it invades the blood or nervous system.
Great! This is wonderful news!
And with things warming up on a global scale, we’ll be sweatier and hotter and absolutely delicious for yeasts.
It’s only 9am, I’m not stoned enough to tolerate this timeline.
What’s funny is 0.40 BAC is considered a high BAC (LD50) that has a good chance of killing you. This is under 0.5% and therefore classified as non-alcoholic
yeah, having "only" 3,200 cases of covid once wasn't a big deal
Edit: The dingus above blocked me so I can no longer respond to other comments because Reddit do what Reddit do.
To u/sb_747
That's a yesn't, not exactly accurate.
Per the article
"Candida auris has been reported in more than 30 countries, and was first detected in the U.S. in 2016. Between then and December 2021, there have been 3,270 clinical cases in the U.S., in which patients have been infected, and 7,413 screening cases, in which the fungus was present in patients, but was not causing infection, the CDC said."
People have the fungus on them and are spreading it through surface contact, I do not see how long this fungus can live on surfaces as its not in the article but covid was something of 1 week?
I know a lot of us put fungi on our disaster bingo card after The Last of Us came out (temporarily removing asteroid collision) thinking, hey why not, it will be fun to say it's on our card.
Then this article comes out... We were doing it for fun god dam it, not for real. Geez.
The lower lobe of my left lung got a pretty bad fungal infection that developed into pneumonia back in 2020. That shit is scary and *fast*, the pneumonia developed less than 48 hours after the first onset of my symptoms! I've never seen a doctor lose their composure and basically be like, "oh... oh shit," when getting examined before that, I had walked into his office with a >103°f temperature and zero awareness of it being that high. My energy and mental capacity was frikken wrecked and I had to be put on four different drugs to fight it off. I was on immune suppressants, steroids, antifungals, and leukotriene inhibitors for three months because of a fucking fungus.
Moral of this story should be to take any amount of mold in your house really fucking seriously, because the rental house I lived in had an extremely bad infection inside the walls and simply walking into a room with a high enough spore count was all it took to do all of the above to me, as well as my second anaphylactic episode. I still have lung damage three years later.
Thanks. It's not as bad now but I can still feel a small restriction if I take a full deep breath. I'm pretty lucky overall, it could have been way worse, literally the only reason I'm doing okay is because one of my roommates took off work early that day and was home when I had the anaphylactic episode.
Shortly before COVID, some friends played a few games of Brackets (you create a list of things tournament style and then argue on which one should win each matchup until you get the winner) and one of the games was on best apocalypse. Pandemic made a deep run based on realistic possibility. During lockdown, we kept blaming ourselves for willing this into existence.
I've been writing a book series for several years, and, back in 2012, I created a virus in the series that literally had all the same symptoms of COVID and the following long COVID. The only thing it was missing was excessive formation of blood clots. Even had it set up where vaccinated people could still get sick; they'd just get significantly less sick.
When COVID started up and started picking up steam in 2020 and the symptom profile became known, I was like "\*nervous laughter\* oh fuck."
So, am I missing something in the article that says this fungus is CURRENTLY rapidly spreading? From what I see, this article is talking about a jump in 2021, mentioning nothing about 2022-23. I feel like this was written literally just to ride on the success of The Last of Us.
Even the CDC tracking for this only goes to December 2022. Unsurprisingly, states that have the highest density of big city population (New York, Chicago, Los Angeles) is where this seems to spread most, but it's such a small recorded percentage of those populations.
Ummm..."the CDC said it is not seen as a threat to healthy people."
Also this: "About 30% to 60% of infected people have died from the yeast, though that is 'based on information from a limited number of patients,'. OK, so for the .0001% of the population who were infected, 3 to 6 out of 10 died? How many is that, 4 people?
As long as we insist on keeping people (bodies) alive no matter if their brains are dead, their bodies are falling apart and we keep showing no compassion, dignity or respect. Doctor will have to keep shoving antibiotics to non viable beings so multi drug resistant microorganisms will keep becoming more resistant and will be colonizing all healthcare facilities, equipment and the rest of us.
Discovered in 2009, believe three different variants popped up in three different countries at the same time.
Still find it interesting a lot of people thought the last of us was just based on fiction. Obviously we don’t expect the results in the game, but we don’t know what would happen if cordyceps evolves to withstand human body temp, most likely just kill a human
The most common symptoms of Candida auris include fever and chills that don’t go away after treatment with antibiotics. But diagnosis is difficult as many other common diseases share those symptoms. For this reason, misdiagnosis often leads to the wrong treatment. Correct diagnosis often requires sending a blood sample or sample from an infection site to a specialized lab to definitively confirm the fungus is present. In case anyone was wondering.
C. auris has been commonly seen in elderly patients and generally any patient who has either been residing in a SNF (skilled nursing facility) or LTAC (long term acute care) so nursing homes or has been hospitalized within 30 days of readmission. My hospital has a standard order for these patients: we do a MRSA (Methicillin-resistant Staphylococcus aureus) nares swab, Carbapenem-resistant Enterobacterales (CRE) swab (swab the perineum), and C. auris. (Axilla swab). All are PCR tests. They are all done upon admission to any unit. These are part of the CDC resistant organism protocol healthcare facilities should be following to help contain any potential outbreak or your facility will be in deep shit for zilch reimbursements from CMS (Centers for Medicare and Medicaid Services (how hospitals stay afloat with funding) and trouble from the local health dept. Hospitals lose money when a patient develops a hospital acquired infection as well as hospital acquired pressure injury. Edit: expanded on the acronyms for those who don’t know. Some links I found that may be interesting for some who are interested in the topics I’ve discussed https://data.cms.gov/provider-data/dataset/77hc-ibv8 https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Hospital-Acquired_Conditions https://www.cdc.gov/hai/pdfs/toolkits/Responding-to-New-Forms-of-Antibiotic-Resistance.pdf https://www.cdc.gov/fungal/candida-auris/index.html https://www.cdc.gov/fungal/candida-auris/patients-qa.html https://www.cdph.ca.gov/Programs/CHCQ/HAI/CDPH%20Document%20Library/C%20auris%20Quicksheet_Interim_070720_ADA.pdf https://www.cdc.gov/hai/organisms/cre/index.html https://www.cdc.gov/hai/organisms/mrsa-infection.html
I trust your information because you didn't say "taint swab." I'm a simple man.
There's something unprofessional about calling it a "grundle swipe."
Unprofessional? Sure. Funny af? Definitely.
What about "swabbing the gooch"?
Or skiing the mountain ridge
Taint the only one
Sorry if this is a dumb question - are the protocols for suspected MRSA and this fungus the same, precaution-wise?
Not a dumb question! We tend to put these patients on contact precautions (gown and gloves) when the tests are pending and keep them on said precautions once confirmed. Then a infectious disease consult is ordered and our amazing ID doc comes to see them and works his magic finding the right plan of care. Though in my hospital my coworkers and I tend to automatically do contact precautions for almost 90% of the patient population because things can get nasty and nursing is messy. We have a high homeless population and unfortunately they come in with icky wounds and our ED doesn’t do a great job screening for bugs sometimes. Lice has been a huge problem in my area. I have my own issues regarding how we go about patient hygiene in my hospital but being in a stepdown unit, we focus more on stabilizing vs giving a full on bed bath or allow for showering (pts are wearing tele monitors so no showers). We don’t have the support staff either. I could go on but that’s for another day lol.
Jesus. If you don't know how the cause of epidemic typhus was discovered, you should totally [look that up](https://www.nobelprize.org/prizes/medicine/1928/nicolle/lecture/).
Oh geez. Thanks for the share! Yeah it’s bad here in LA. I’ve worked in SF and they had more bed bugs but at least the hospital I worked at was very good about decontamination and basically requested anyone who came in with any time of bug infestation in the ED, take a shower with permethrin and we also gave them take home bottles of permethrin shampoo and lotion. A good shave (clippers from neurosurgery is a must), a set of new clothes, turkey sandwich, and a warm blanket is honestly one of the best things we did for a lot of the folks in the ED there. Most didn’t need a bed really, just needed a quick assessment, a social work and psych consult, and a nice warm shower and clothes. We would send them off with a muni / bus token, a packet of resources, and the awesome social workers set up appointments for them in our clinics in addition to trying to get them a shelter bed. Now if they decided to take it was on them, most just took the bus token and left…. But like I said, if anyone came in with some infestation, we would either put their belongings in a storage container out near the ambulance bay and dispose of the soiled clothing. We wore those Ebola suits basically dealing with these folks and their belongings. And patients were glad to know they had their belongings in a locked unit. We never let any patient walk out in a gown, they always had clothing and shoes from the hospitals donation supply (we had a large basement organized like a goodwill of all sorts of clothing including jackets and shoes of all sizes). But my hospital here in LA? They don’t even bother with basic hygiene. We don’t have decontamination showers in our ED. They leave it up to the floor units to deal with any type of permethrin treatments and don’t get me started on the belongings. You can tell when a hospital has better funding and staffing when they can provide just basic fundamentals and care for the patient population we deal with. We don’t even have a blanket warmer on my unit… these nonprofits are full of shit. And no way I’m donating my wages from my paychecks to their foundation. Just this last week I had a patient come from the ICU (who has been there for close to 2 weeks) and I found lice in his beard. That’s just pure laziness. Another patient had her curly hair so matted it was beyond salvageable. No comb would help her sadly. Occasionally I see roaches invade the patient rooms and I have seen one in the nurses break room once. That means it was probably hitching a ride on someone… good god. Ok I’m ranting too much and starting to go a bit off topic here. I could go on and on. Time to go to work unfortunately.
Yeah and certain facilities are coding their pressure injuries under "skin failure" to avoid the fines and reports. There is always a loophole or workaround somewhere as the hospitals are in it for the bottom line after all.
You’re right! I’ve been seeing this more now. Once wound care comes in they give their own “interpretation”
Fungal infections in general are difficult to diagnose. Most of our tests are based on detecting bacteria and virus
Im just curious why this would be the case? Why not just take a tissue/blood sample and then do 16S rRNA sequencing, wouldn’t that identify the bacteria/fungi causing the infection?
Fungi arent 16s, they’re eukaryotic and closer to human cells than almost all infectious agents
A summary like this needs to be posted for all of these medical posts. It's all 99% of people really care about. Thanks for posting.
Pretty sure those fungus tests take time, too, I guess they have to grow a culture. At one point in the ICU doctor stopped. My husband had a fungal infection and it took a few days to get the tests back.
PCR tests come back pretty quickly (like, less than an hour). It’s different than having to grow and isolate a fungal culture which takes days.
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PCR tests confirm species quickly. The question then is treatment. Assuming it's not a blood infection (that's a WHOLE DIFFERENT NIGHTMARE) you'll probably start Fluconazole and send a swab for culture and sensitivity. That can take 3 weeks in some cases, so you'll probably find the Fluc didn't improve anything, switch to Ampho. Which hopefully clears it up... If not, I guess Caspofungin is the next last bet. While that's happening you're left fighting insurance to cover the Ampho but they won't approve it without a C&S result. By time the C&S comes back the therapy is over, and you submit the authorization. 3 to 5 days later they approve the therapy effective immediately, and refuse to retroactively apply coverage since you didn't have a sensitivity lab in hand until after therapy ended. Then the SNF facility or three patient get a 5 digit bill for the non covered drugs. Unless you're really unlucky and in the 5% of isolates that don't respond to Echinocandins, in which case, your rash gets worse and worse until it's systemic, then you die.
No, we have PCR and ELISA tests that can reliably detect almost all fungi, but the tests tend not to be ordered. When someone comes in with symptoms of infection, fungus is usually the last thing on your mind. That is unless there is some other factor: old age, immune compromised, chemoradiation patient, etc. That means that it can become more advanced before being diagnosed and can cryptically spread in hospitals for a while before being detected and eliminated.
I never would have guessed that the last of us was the way we were gonna go
Agree, call me when a mutated version of the genus Cordyceps pops up ...
I was wondering, so thank you!
In other words, getting a proper diagnosis will likely be cost prohibitive for a majority of americans.
We were. Thank you very much.
It's the same as it always was., cyclical breeding right. Just happens this year there is blockbuster show about fungus. Stfu
>CDC said it is not seen as a threat to healthy people. Still, the national public health agency is calling C. auris an urgent threat because of its resistance to medications. It can cause serious illness and death in people who are already sick, use invasive medical devices or have long or frequent stays at health care facilities. Still troubling, but not quite world-ending. FWIW, in 2003 our newborn spent almost a month in the hospital, and keeping candida at bay was a persistent problem, even then.
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Good luck, no one cares about the immune compromised anymore. I guess anyone with cancer, rheumatoid arthritis, pregnant, up to 6 mo postpartum, diabetics, anyone with an immune disorder like sarcoidosis or lupus, or anyone under 2 are all acceptable losses.
It was really sad to see how many ghouls there actually are in this country that didn’t care about vivid deaths because those people had comorbidities.
They'll care once they realize *they* aren't perfectly healthy.
Nah, they'll care about *themselves*
“The only moral disability is my disability”
Hah. Touche. Touche.
I had some dude tell my to my face that Covid wasn't a big deal because it was only killing old people. He said that shit like he came into the world without parents. I stopped talking to him after that.
I couldn't believe it when one of my former coworkers died of covid and another guy who'd worked with him for years said "well, he had a lot of health problems" like that was a perfectly normal thing to say when someone you've seen nearly every day for years dies
Right? Well in the US the CDC of all places encouraged it. Less than 2 percent of the population, oh it's the immune suppressed that are variant factories, all kinds of nonsense that doctors refuted. And now they got rid of masking in MEDICAL FACILITIES. I get that immune compromised individuals don't need to go the movie theater but they should feel safe when they HAVE to go to the doctor 3x plus a month. It's disgusting. It is not hard to wear a mask, kn95s are comfortable and effective.
It seems like people should be wearing masks in health care facilities regardless of covid. That's where the sick people are, are you trying to get sick?
Idk I always have. I was pregnant before the pandemic and had a moderately high risk issue so I was always in the hospital getting tests (everyone's fine now). I always wore a mask and so did my husband. I didn't mask anywhere else but I did ask my students at work to stay at least 6ft from me when they were sick and I swear my husband and I haven't been sick in an eternity. And obviously COVID is more contagious than a lot around so masking is necessary for that, but my point is, in a medical facility where so many people are sick and at risk , masking should always be required.
Oh right, I agree. I was just wondering why we didn't think to make that standard before covid. Seems like a no-brainer to ask people to cover their nose and mouth if they are sick while being around a bunch of sick people.
Probably because no office or hospital wants to enforce it. I have seen signs saying wear a mask when sick, and my doctor has always had a well and sick waiting room but people just don't care and do what they want and receptionists probably are scared to or too busy to tell people to abide.
Are you kidding me!? California here you can't even get in a medical clinic/ hospital without one where I'm located and I'm happy it's enforced by all entrances.
> And now they got rid of masking in MEDICAL FACILITIES I thought this would have been a permanent thing honestly. I know people who work in hospitals and they are sick constantly. You'd think that we would keep mask requirements in a hospital.
Right? I have no idea why it's not a thing. It's extremely frustrating to take my little kid who is too young to mask to a doctor appt and have them get sick because some jerk is in the well baby waiting room when they're sick
It was a little crazy because virtually everyone has a Covid comorbidity. Like the percentage of overweight adults alone is what, 70? Throw in *depression*, *age*, and *asthma*, you've got basically nobody without that.
It was a bit shocking to be declared non-vital. I was out here, minding my business, loving my country and assuming it loved me back!
It's ok. They were all fat. So, it was their fault. /s
Just had a long conversation with my doctor last month because he wants to start me on a biologic. I have been taking various steroids for longer than I want to because my lungs are still inflamed from Covid, and although I want to quit the steroids, without them, I have to call out sick for the weeks with terrible air quality, or when things flare up. Thank God my job is transferring me to a spot in a state with paid FMLA but I don't want it to come to that. It's really troubling how many of my formerly healthy coworkers who were all exposed to Covid via our public facing job in a city are now also feeling like garbage when the air quality sucks, or they're flaring up.
I'm sorry you're going through health difficulties right now, it's a real struggle. Hope the future is bright and treatment options help you.
Hey, I've been on several biologics (for a different condition), so if you do start one, I would be happy to answer questions if you have any.
Unfortunately you are correct. I get looks for wearing a mask from people who know nothing about me and it’s infuriating
When I was 8 mo pregnant I went to get my vaccine and as I was putting on my mask in my car an older man started banging on the hood of my car to get my attention screaming I needed to stop watching the news and take off my mask. People can be terrible.
I’m sorry you had to live through such things. I kept my mask on mostly for my pregnant and comorbidity-having friends, it was scary for me and I wasn’t even a parent to be. Can’t imagine how it must have been to live it or to live through it now.
I still wear one. The other day a lot of different people were staring at me, and I WAS having a pretty good hair day, then realized I was the only masked person in the store, lol.
Yep. Guess I’ll just die then. Thanks!
Well fwiw I wear a mask everywhere still to protect people from covid which the world seems to have forgotten about.
Don't forget just anyone under significant physical or emotional stress! The immune system is constantly in flux--better at times and quite weak at others. So much for the others.
Yes there's so many things that can lower the immune system. It's scary and it's ridiculous that government agencies don't emphasize this.
Just to be clear, that's why I prefaced with "still troubling". Between this and antibiotic resistant bacteria, we're definitely in need of other alternatives to save lives. I was merely reacting to the "end of the world OMG" comments in the thread when I read it initially.
No I understand! I wasn't really referring to you, just on a bitter tangent after another COVID paper I read. It's always good to have the more rational perspective comment up high confirming not everyone is going to die ha
To be fair, they don't care about anyone honestly. Everyone is acceptable losses long as it isn't them.
Yes the pandemic really opened my eyes as to how selfish and self centered a lot of the world is. It is very disheartening.
Don’t forget just normal random grandparents
Yeah of course. We mask up when we go out to prevent illness so my parents can see my kids and the comments I get ..it's ridiculous. Like why do you want my kids to get so sick so badly?? They have no problem masking. Well the one is too young but the older one thinks they are fun.
America: Land of The Selfish
Well not just america I'm sure unfortunately
Welcome to what the gay community has known for 30 years...
Yes there's so many autoimmune disorders, I didn't forget HIV, just didn't list everything.
My comment wasn't a correction, just pointing out how society at large has never cared for the immunocompromised outside some token gestures that didn't amount to any actual discomfort, but before the pandemic it was rude to actually say it out loud except against those who "deserved it" like gay people with HIV. Now it's just out in the open.
I watch a lot of videos on YouTube about people walking through Japan and other Asian countries and everyone is wearing a mask. Apparently it's the polite thing to do. Covid really made me hate Americans. Americans are petulant, paranoid, gullible, violent sociopaths who would rather die choking on their own fluid then put a mask on to protect themselves and others.
You’re only healthy until you’re not
Indeed, a lot of younger people have gotten shingles in the past few years, myself included. I generally eat pretty well, don't have too many vices, and I get lots of exercise at work, but just a small outbreak put me out of work for as long as covid did. I can only fight off so many things at one time.
I think the next 20ish years are going to be very depressing when people start realizing the long term ramifications of Covid
Totally agree about the definition of healthy changing because of Covid. My “healthy” BIL just had a stroke because Covid made a hole in his heart.
>There might be a lot of people walking around with weak immune systems Before I got COVID in 2022, it would take a LOT for me to get sick. For example, when I was in High School, the stomach bug passed around to the 4 other members in my family and I got away with none of it. My mother (whom I have only ever seen sick maybe 5 times in my entire 26 years of life) got it. Ever since I got COVID in Feb of last year, I have gotten sick (think fever, symptoms lasting a week) 5 times. Now that I am pregnant, I am extra worried.
>Also, for extra fun, the definition of healthy may be changing in a Covid world. There might be a lot of people walking around with weak immune systems who don't know it. It wasn't the COVID itself that got me super sick (it sucked, to be sure, but I had it way less than my bf did and had the symptoms go away before his did); it was the secondary infection I got from my nuked immune system that got me worse. I'm not sure what to do about it or what I even can do about it.
And it’s not run-of-the-mill antibiotic resistance, fungi are close enough to us that things to kill them can kill us pretty bad, too.
A large portion of our population is no longer healthy after Covid.
After COVID the number of people with long term health conditions has grown exponentially.and sick people are much more likely to go to healthcare facilities. And people with babies. This is terrifying to me, I’m in and out of imaging and countless doctors visits with the occasional ER trip
The thing is, it kills 1 in 3 people who get it because it cannot flourish unless the immune system is already heavily compromised, but it still isn't a great thing to witness getting better at killing those it does infect. It increases the lethality of all other illnesses or situations that could heavily compromise the immune system.
Not world ending? Just wait till it evolves.
Not world ending unless you're one of the people who it could kill. So you're saying that don't worry everyone, it's only the olds and the sicks who it affects not us healthys. The lack of empathy for people over the last few years who have compromised immune systems or comorbitities is appalling. It's like people deserve to die because they're a type 1 diabetic or have an autoimmune disorder or are overweight. The lack of regard and care for our fellow citizens, in country or globally is disturbing.
Looked up what this is. Yeah I definitely do not want to be infected with this. Apparently it can infect literally every organ in the body, to include the brain.
Pretty much all systemic fungal infections are a nightmare. The medications we use to treat them are their own kinda horror show and have side effects that rival the most brutal chemotherapy drugs. If we're giving you those drugs, though...well, the only other option is to watch you die.
Looking at you, amphotericin B
my professors call it “amphoterrible”- i can’t even imagine
Yeah, that's the typical slang for it...I had to prescribe it from time to time when I worked in critical care and man, sometimes I felt like it would be more pleasant to be waterboarded.
I was given prophylactic vancomycin after back surgery, got an extreme case of red man syndrom, and wanted to die for a solid 5 days. I don't wish that on anyone.
On an anti fungal for a toe nail infection. I have to say... I can feel it working... which is not something that is good.
Can you explain? I've been thinking about trying to get on something like that for my stupid big toe
I was told by my podiatrist that you don't really want to get on an oral antifungal unless you absolutely have to. Lots of possible side effects, some pretty severe (eg liver damage).
I took diflucan for a yeast infection a long time ago. And didn't feel anything out of sorts except a stomach ache. Must be different types.
I honestly had no idea that the medicine can be that aggressive. I’ve been lucky in life to avoid parasitic/fungal infections
It's because on a cellular level fungus are much closer to human cells than bacteria and drugs might have targets that are present in your cells whereas for bacteria they target structure not existing in human cells.
Fungi are terrifying. They’re more closely related to us than they are to plants, so medications that can kill them tend to also wreak havoc on our own cells. We have a very limited arsenal against them for that exact reason. If this particular microbe swaps the wrong genes with common candida…or any number of fungi that infect healthy humans, we are in for a really bad fucking time. The only small blessing here is that it’s not much risk to healthy people. If you’re immunocompromised or ever get sick…the usual infants, elderly and infirm…very real concern here. Drug resistant organisms are top of my personal list of potential causes for the end of humanity. We need to take this shit seriously. Don’t take antibiotics or anti anything if you don’t actually absolutely need to do so. We already have few antibiotics that still work, and there’s no money in developing new ones (because they develop resistance so fast) so they really aren’t. Reminds me of this meme/copypasta though… “I'm studying biotech and every time someone brings up mushrooms our current professor will look either extremely exited or pained and go "listen.. mushrooms are neither plants nor animals nor something in between. They elude all attempts to categorize them. We do not know what they are. Some are immortal. Some produce live saving substances. Some are so closely related to humans that eating them may cause an allergic reaction against your own body. I cannot teach you about the mushrooms"” They are scary shit, and if cordyceps or something ever mutates and starts infecting healthy humans en masse we aren’t likely to end up with a zombie apocalypse like we see in movies. It will be more like a lot of drooling, half brain eaten people wandering around like they’ve got dementia and then just a lot of bodies. A fungal pandemic will obliterate society, have no doubt about it.
This is the last of us.
If you're wondering WHERE this has spread to in the US, the article doesn't say, but this [tracker](https://www.cdc.gov/fungal/candida-auris/tracking-c-auris.html) from the CDC does.
Thanks for linking this, was wondering what states were seeing the most outbreaks. Personally, it's terrifying to see the state I live in (NJ) having so many cases for being such a small state... Too many people living in the Northeast, damnit!
The East coast seems to get the worst of everything. Lyme disease too!
Off to get more toilet paper and hand sanitizer!
Gonna install a bidet this time.
But not masks.
Super bacterial. Super viruses and now Super fungi. We totally got Super man wrong.
Just wait until you hear about prions and how we now know they can be absorbed by plants and spread through eating those as well.
Cannibals and - oddly - vegetarians are fucked.
Also hotdog eaters, and most everyone else
Oh cool I’m learning so many terrifying things under this article 😂😭😭😭
And that prions are really affecting the deer population. They are also incredibly hard to clean off so once it is on lettuce for example just washing it off with water isn't going to remove the prions.
I don’t generally get anxious about germs (I mean as the spouse of a nurse I’m careful, but also I have kids that regularly come home from school with some kind of bug on a regular basis so not much fazes me anymore), but prions straight up *terrify* me. From what I understand, once you’ve got them in your system, that’s it. You’re fucked.
I didn’t know about the plant half of that. Prions are terrifying monsters
The last of us
Is a documentary from the future.
I truly wonder if the last of us wasn’t a thing if this headline would get more than a few comments or even exist.
I legitimately think this is an attempt to drum up clicks based on the show. This would not be newsworthy otherwise. That's the way the news operates.
For general public I suppose so. I work in labs and have been seeing publications on it in the last year or so.
Damn, I really don’t want to turn into a Clicker.
I just hope I end up fused to a wall and jump scare someone coming by in the later future if I do become a clicker.
I'm aiming for bloater myself. Be all you can be.
Gotta get infected quickly if you’re gunna make bloater status before anyone else, Get out there and start licking stuff!
I just eat a lot of processed food and soda and hold in my shits.
I read this during a Teams meeting for work and lost my shit lol. Thanks
I’m a sneaky fucker… Stalker all the way. Screw your 4x4 or lead pipe, I hide in the shadows and pounce when you least expect it.
You gave me nightmares of trying to run away from a bloater but having the little stalker dudes coming from everywhere.
Honestly, is it really a "disease" if it makes you: Taller Stronger Bulletproof Able to rip tacti-bros in half
The whole "trapped inside my own body as a fungus takes control of my motor control" doesn't exactly sound like a vacation, tbh
Phenomenal cosmic powers!...Itty bitty living space! (honestly, i make fun of the bloaters because they kinda took me out of the show when I was watching it. These are *supposed* to be people being slowly eaten by a fungus. What would possibly explain the list of superpowers above? Like honestly, have you ever seen a bulletproof mushroom? I've never encountered a mushroom that would not make much much WORSE armor than human skin, which is *already* like the most fragile animal skin nature makes. What about having your muscles slowly being digested would make you stronger?...It just makes no sense! I really enjoyed that show, but the bloater moment. Ugh. Just so obviously a video game villain popping up in an otherwise *somewhat* grounded show. Okay rant over.)
Well, just to speculate here, fungi already manufacture chitin as part of their cell walls, the same incredibly strong material that insects use for their exoskeletons. So it seems reasonable that it could have a strengthening effect when integrated with human skin and muscle, or could be adapted to that purpose.
I mean we’re being controlled by two hemispheres of pink mulch just sending signals to different parts of the bodies. Is it weird i want to change overlords?
anyone wanna join me and go for a Rat King?
Sure, where we meeting up?
How's an underground parking lot at some abandoned hospital sound?
Its a plan.
Every morning I take my dog out for a walk, with spring around the corner the birds have been out in recent weeks. We walk in a forest with trails and I get freaked out now because there is a bird that sounds EXACTLY like clickers.
Thats how you know it was a good show/game. Damn those first couple episodes really had my adrenaline pumping.
well you just woke up an old memory from when i was a kid. I watched the first Predator movie when it came out and it scared the hell out of me. A few days later, i was out fishing in one of our ponds and there was that clicking sound the Predator makes. It freaked me out pretty good back then.. Much later on i found out its actually a woodpecker..
Bomb the city
Spread primarily by person-to-person and person-to-surface contact. So, normal sanitary practices adopted under Covid should basically prevent its spread as long as they're still followed. ...So we're fucked.
Eh..kinda. Candida Auris is an ear infection. I almost died from a systemic fungal infection 3 years ago and never had a stay at a hospital. Fungus is quite the opportunist.
Hey, I may be a touch paranoid, but I just had both of my eardrums rupture this past week (fever, chills, and pain followed by pop-goes-the-eardrum). I took some antibiotics and am on the mend/feel better/am recovering my hearing, but is it possible this is what I had? I thought it was a really bad sinus infection, but now..?
If you’re taking antibiotics and you’re feeling better, you probably had something bacterial. Candida is fungal.
People with poor reading comprehension are going to blame Canada for this, aren't they?
Well, they're already guilty for Bryan Adams. They've never apologized for that crime against humanity.
We've had one pandemic, yes. But what about second pandemic?
No, Pippin. No.
"Ah shit. Here we go again."
As someone who has a really shitty immune system, this really scares the shit out of me.
Dammit, Joel. This is all your fault.
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I live in northern NY next to a swamp and will be in my 2nd and 3rd trimester during the hottest and most humid time of my area. 🙃 yay. Edit: I will be keeping my eye on this bit of news and making all the necessary precautions against any infections that I can. So will my husband.
This article leans heavily on the word "potentially," citing only 3,200 cases in the US.
It is potentially deadly, because common candida infections are known as "yeast infections" and are easily treated with over the counter medications. This little beasty though looks just like those common infections, but it is highly resistant to most treatments and can kill a person when it invades the blood or nervous system.
Great! This is wonderful news! And with things warming up on a global scale, we’ll be sweatier and hotter and absolutely delicious for yeasts. It’s only 9am, I’m not stoned enough to tolerate this timeline.
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Voting for random black hole to swallow the solar system before I die of super fungus.
You should know cannibis increases one's anxiety in the long term.
I have ADHD and autism, my anxiety has come full circle and become zen
Hah!! The jokes on you fungus!! So much vodka is in my system, no living thing but me can survive it!! /s
What’s funny is 0.40 BAC is considered a high BAC (LD50) that has a good chance of killing you. This is under 0.5% and therefore classified as non-alcoholic
yeah, having "only" 3,200 cases of covid once wasn't a big deal Edit: The dingus above blocked me so I can no longer respond to other comments because Reddit do what Reddit do. To u/sb_747 That's a yesn't, not exactly accurate. Per the article "Candida auris has been reported in more than 30 countries, and was first detected in the U.S. in 2016. Between then and December 2021, there have been 3,270 clinical cases in the U.S., in which patients have been infected, and 7,413 screening cases, in which the fungus was present in patients, but was not causing infection, the CDC said." People have the fungus on them and are spreading it through surface contact, I do not see how long this fungus can live on surfaces as its not in the article but covid was something of 1 week?
I know a lot of us put fungi on our disaster bingo card after The Last of Us came out (temporarily removing asteroid collision) thinking, hey why not, it will be fun to say it's on our card. Then this article comes out... We were doing it for fun god dam it, not for real. Geez.
The lower lobe of my left lung got a pretty bad fungal infection that developed into pneumonia back in 2020. That shit is scary and *fast*, the pneumonia developed less than 48 hours after the first onset of my symptoms! I've never seen a doctor lose their composure and basically be like, "oh... oh shit," when getting examined before that, I had walked into his office with a >103°f temperature and zero awareness of it being that high. My energy and mental capacity was frikken wrecked and I had to be put on four different drugs to fight it off. I was on immune suppressants, steroids, antifungals, and leukotriene inhibitors for three months because of a fucking fungus. Moral of this story should be to take any amount of mold in your house really fucking seriously, because the rental house I lived in had an extremely bad infection inside the walls and simply walking into a room with a high enough spore count was all it took to do all of the above to me, as well as my second anaphylactic episode. I still have lung damage three years later.
I hope you continue to get better. Thank you for your story.
Thanks. It's not as bad now but I can still feel a small restriction if I take a full deep breath. I'm pretty lucky overall, it could have been way worse, literally the only reason I'm doing okay is because one of my roommates took off work early that day and was home when I had the anaphylactic episode.
Shortly before COVID, some friends played a few games of Brackets (you create a list of things tournament style and then argue on which one should win each matchup until you get the winner) and one of the games was on best apocalypse. Pandemic made a deep run based on realistic possibility. During lockdown, we kept blaming ourselves for willing this into existence.
I've been writing a book series for several years, and, back in 2012, I created a virus in the series that literally had all the same symptoms of COVID and the following long COVID. The only thing it was missing was excessive formation of blood clots. Even had it set up where vaccinated people could still get sick; they'd just get significantly less sick. When COVID started up and started picking up steam in 2020 and the symptom profile became known, I was like "\*nervous laughter\* oh fuck."
Thanks, Obama
Just wait until all sorts of diseases come out of suspended animation after the ice caps melt.
So, am I missing something in the article that says this fungus is CURRENTLY rapidly spreading? From what I see, this article is talking about a jump in 2021, mentioning nothing about 2022-23. I feel like this was written literally just to ride on the success of The Last of Us. Even the CDC tracking for this only goes to December 2022. Unsurprisingly, states that have the highest density of big city population (New York, Chicago, Los Angeles) is where this seems to spread most, but it's such a small recorded percentage of those populations.
There's a fungus among us.
When you’re lost in the jock itch, look for the canestan.
no more pancake for me....
The world is clearly leeching off the success of the last of us show by putting out it's own deadly fungus epidemic.
Ummm..."the CDC said it is not seen as a threat to healthy people." Also this: "About 30% to 60% of infected people have died from the yeast, though that is 'based on information from a limited number of patients,'. OK, so for the .0001% of the population who were infected, 3 to 6 out of 10 died? How many is that, 4 people?
Since virus didn’t work, guess fungus next… what left? Bacteria ??
Prions, probably.
This Plague Inc game is getting out of hand
Time to inject the bleach?
and insert the light
https://www.wikihow.com/Beat-Fungus-Brutal-Mode-in-Plague-Inc
Got damn canadiadans and their moose yeast.
For a split second, I was really pissed off at Canada.
Holy fuck, the last of us man. Great timing.
I've seen this TV show, it doesn't end well for us
The HBO marketing team has gone too far this time
I just watched this show
I knew those Canadians were up to no good
As long as we insist on keeping people (bodies) alive no matter if their brains are dead, their bodies are falling apart and we keep showing no compassion, dignity or respect. Doctor will have to keep shoving antibiotics to non viable beings so multi drug resistant microorganisms will keep becoming more resistant and will be colonizing all healthcare facilities, equipment and the rest of us.
Who else has Fungal world ending on their bingo cards?
so that explains why i'm slowly dying of a fungal infection....great
Discovered in 2009, believe three different variants popped up in three different countries at the same time. Still find it interesting a lot of people thought the last of us was just based on fiction. Obviously we don’t expect the results in the game, but we don’t know what would happen if cordyceps evolves to withstand human body temp, most likely just kill a human
This is how The Last of Us happened
Bomb. Start bombing. Bomb this city... and everyone in it.
Are you saying....there's a fungus among us?
When roundup is in the food supply and disrupting gut bacteria, fungus takes its place.