{
  "abstract": "Metastatic infection after Candidozyma auris candidemia remains poorly characterized. We retrospectively studied patients with C. auris candidemia at a tertiary hospital in Spain during 2016–2024. Of 108 patients, 24 (22.2%) experienced metastatic infections; endocarditis was most frequent (7.4%), followed by osteoarticular infection, meningitis, and hepatosplenic infection (3.7% each). In multivariable Fine–Gray regression, a cardiac device or prosthetic valve was independently associated with metastatic infection (subdistribution hazard ratio [HR] 2.89 [95% CI 1.21–6.91]), although that association was attenuated in a sensitivity analysis restricted to echocardiographed patients. Persistent candidemia showed a higher, nonsignificant risk for metastatic infection in the day-5 landmark analysis (subdistribution HR 2.67 [95% CI 0.86–8.32]). Metastatic infection was associated with increased deaths in time-dependent analyses at 60 days (adjusted HR 2.21 [95% CI 1.04–4.67]) and 90 days (adjusted HR 2.26 [95% CI 1.09–4.67]). Our findings support echocardiography in patients with intracardiac devices.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": "review article",
  "arxiv": null,
  "author_total": 16,
  "authors": [
    {
      "name": "Pedro Suarez-Urquiza"
    },
    {
      "name": "Alba Ruiz-Gaitán"
    },
    {
      "name": "Eva Calabuig"
    },
    {
      "name": "María Tasias"
    },
    {
      "name": "Víctor García Bustos"
    },
    {
      "name": "Ignacio Moreno"
    },
    {
      "name": "María Ángeles Ferre"
    },
    {
      "name": "Ana María Moret"
    },
    {
      "name": "Juan Frasquet"
    },
    {
      "name": "Patricio Favier"
    },
    {
      "name": "Javier Pemán"
    },
    {
      "name": "Maria Jesus Castaño-Aroca"
    },
    {
      "name": "Paula Muñoz Brell"
    },
    {
      "name": "Mónica Gordon"
    },
    {
      "name": "Maria Dolores Gomez-Ruiz"
    },
    {
      "name": "Miguel Salavert-Lleti"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/0hqjm8p26mxr4.bib",
  "cited_by": 0,
  "doi": "10.3201/eid3211.260984",
  "fulltext_url": "https://wwwnc.cdc.gov/eid/article/32/11/26-0984_article",
  "id": "0hqjm8p26mxr4",
  "issns": [
    "1080-6040",
    "1080-6059"
  ],
  "landing_url": "https://doi.org/10.3201/eid3211.260984",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Synopsis"
    ],
    [
      "lcc",
      "R"
    ],
    [
      "lcc",
      "RC109-216"
    ],
    [
      "openalex",
      "2725|Antifungal resistance and susceptibility"
    ]
  ],
  "openalex": "W7221805078",
  "pdf_url": null,
  "pmcid": "PMC13715895",
  "pmid": "42909852",
  "published": "2026-10-30",
  "publisher": "Centers for Disease Control and Prevention",
  "ris": "https://research.draconitic.com/paper/0hqjm8p26mxr4.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T13:44:08Z",
      "native_id": "903570e7f0c44af3b6b100137ca065a5",
      "source": "doaj",
      "url": "https://doi.org/10.3201/eid3211.260984"
    },
    {
      "first_seen": "2026-11-01T12:23:05Z",
      "native_id": "PMC13715895",
      "source": "pmc",
      "url": "https://doi.org/10.3201/eid3211.260984"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2725|Antifungal resistance and susceptibility",
      "subfield": "infectious-disease"
    }
  ],
  "title": "Predictors and Patterns of Metastatic Candidozyma auris Infection, Spain, 2016–2024",
  "title_text": "Predictors and Patterns of Metastatic Candidozyma auris Infection, Spain, 2016–2024",
  "type": "peer-reviewed",
  "updated_at": "2026-11-04T12:21:19Z",
  "url": "https://research.draconitic.com/paper/0hqjm8p26mxr4",
  "venue": "Emerging Infectious Diseases",
  "versions": []
}