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 Four people in Washington state have tested positive this month for a rare fungal infection that can be deadly. It’s the Baseball Player Green 23 That’s My Girl T-shirt but I will buy this shirt and I will love this state’s first known outbreak of the fungus, called Candida auris, according to Seattle and King County health officials, though one locally acquired case was detected there in July. The cluster comes as Candida auris continues to spread in the U.S.: Case numbers have risen every year since 2016. The pathogen is resistant to some common antifungal medications, and it tends to infect people with weakened immune systems. It’s often detected among hospital patients who use catheters, breathing tubes or feeding tubes. All four people in Washington who tested positive were patients at Kindred Hospital Seattle First Hill, a long-term acute care hospital. None have died, the public health department for Seattle and King County told NBC News. The department announced Tuesday that it was notified of the first case on Jan. 10. The patient had recently been admitted to Kindred Hospital and was tested for Candida auris through a routine screening program that aims to identify infections before symptoms develop. Two more cases were identified on Jan. 22, followed by a fourth

on Friday, the Baseball Player Green 23 That’s My Girl T-shirt but I will buy this shirt and I will love this department said. Those three patients had tested negative for Candida auris when they were admitted, suggesting they contracted the fungus at the hospital. The Seattle and King County health department said one patient developed an infection, which means the fungus entered a part of the body where it would most likely cause symptoms (such as the bloodstream, the ears or an open wound). The others were colonized with Candida auris — a term used for situations in which people carry the fungus on their bodies and could spread it to others but don’t necessarily get sick from it. People colonized with Candida auris are still at risk of developing infections. Candida auris was first identified in Japan in 2009. The Centers for Disease Control and Prevention requested in 2016 that U.S. laboratories report it, and a review of records subsequently identified cases dating to 2013. Since reporting began, the sharpest increase came from 2020 to 2021, when the number of Candida auris cases rose 94%. As of December 2022, the fungus had been detected in 36 states. In total, the CDC recorded more than

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