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Warning-sign checks

Candida auris infection: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Emergency symptoms such as severe trouble breathing, fainting, or new confusion require immediate care.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek prompt medical advice if these develop.

    And for anyone, someone who:

    • has a fever with a stiff neck, a rash that does not fade under pressure, or severe headache
    • has a wound that is hot, spreading red, or leaking pus
  3. 3

    Does any of this apply?

    Book an appointment

    Routine follow-up after an invasive infection may include clinical visits, repeat cultures, laboratory monitoring, and review of any lines, drains, wounds, or other possible sources.

    People with deeper infections may need imaging or follow-up with infectious disease, surgical, wound-care, or other specialists.

    Routine repeat screening to prove that colonization has cleared is generally not recommended by the CDC.

    Swab results can vary over time, and a negative test may not mean colonization is permanently gone.

    Infection-prevention or public health teams may recommend testing in specific circumstances.

    During routine follow-up, ask whom to contact for new fever, wound changes, device problems, or possible medication side effects.

The article also says

Take antifungal medicine for the full period directed by the treating team.

Do not stop or change treatment based only on feeling better.

Contact the prescribing team if side effects, missed doses, or barriers to receiving an intravenous medicine occur.

Tell future hospitals, nursing facilities, dialysis centers, home health agencies, and other healthcare providers about a previous positive C. auris result.

This allows them to use suitable room placement, cleaning, and protective measures.

It does not mean needed medical care should be delayed.

Every sign above is quoted from the sofidex article on Candida auris infection. If you are not sure, err upward — it is always reasonable to be checked.