CHA News Article

CDPH Issues Call for Cases: Candidemia Among Injection Drug Users

The California Department of Public Health (CDPH) requests reports of any isolation of Candida among injection drug users from blood cultures since March 1. The Oregon Public Health Division is investigating a cluster of Candidemia (defined as any Candida species isolated from blood) cases in Lane County, Oregon, among injection drug users between October 2012 and April 2013, with one case including endocarditis. Three of the Candidemia cases have occurred since March 6.

While the investigation is ongoing, interim data show that patients were intravenously injecting “black tar” heroin as well as methamphetamine. The Candida species identified to date are C. albicans and C. pelliculosa. CDPH acknowledges concerns about additional cases, specifically along the I-5 drug traffic route from Mexico. Reports and questions about the issue can be directed to