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Outbreak of Wickerhamomyces anomalus (formerly Candida pelliculosa) Bloodstream Infections, Venezuela, 2022–20231
Maribel Dolande-Franco
2, Diego H. Caceres
2
, Juan F. Frey-Carrillo, Antoniellys Pérez-Guzmán, Andres Ceballos-Garzon, Aleiram Chaurio-Briceño, Bram Spruijtenburg, Yusely Roa-Díaz, Eelco F.J. Meijer, Elaine Cristina Francisco, Rodrigo Oliveira, Tatiana Drummond-Suinaga, and Jacques F. Meis
Author affiliation: Instituto Nacional de Higiene “Rafael Rangel,” Caracas, Venezuela (M. Dolande-Franco, J.F. Frey-Carrillo, A. Chaurio-Briceño); Immuno-Mycologics, Norman, Oklahoma, USA (D.H. Caceres); Universidad del Rosario, Bogota, Colombia (D.H. Caceres, A. Ceballos-Garzon); Radboudumc-CWZ Center of Expertise for Mycology, Nijmegen, the Netherlands (D.H. Caceres, B. Spruijtenburg, E.F.J. Meijer, J.F. Meis); Hospital Universitario de Caracas, Caracas (A. Pérez-Guzmán, Y. Roa-Díaz, T. Drummond-Suinaga); Canisius-Wilhelmina Hospital/Dicoon, Nijmegen (B. Spruijtenburg, E.F.J. Meijer); Universidade Federal de São Paulo, São Paulo, Brazil (E.C. Francisco); Antimicrobial Resistance Institute of São Paulo, São Paulo (E.C. Francisco); Universidade Federal do Paraná, Curitiba, Brazil (E.C. Francisco); Bruker Daltonics GmbH & Co., Bremen, Germany (R. Oliveira); University of Cologne, Cologne, Germany (J.F. Meis)
Main Article
Figure 1

Figure 1. Geolocations of reported Wickerhamomyces anomalus (formerly Candida pelliculosa) bloodstream infection outbreaks, Venezuela, 2022–2023. The map shows the distribution of outbreaks across 8 hospitals in 3 cities: Caracas (Capital District; n = 5 hospitals), Los Teques (Miranda State; n = 1 hospital), and Valencia (Carabobo State; n = 2 hospitals). Caracas, located near Venezuela’s northern coast, represents the primary cluster. Los Teques lies ≈29 km southwest of Caracas, and Valencia is located ≈177 km west of Caracas. The geographic dispersion and clustering across multiple healthcare facilities are consistent with regional nosocomial transmission rather than a single point-source event. Insets show location of the 3 states in Venezuela and the location of Venezuela in South America.
Main Article
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Page updated: May 26, 2026
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