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Can a biologic mesh survive a Candida krusei infection? A case report of infection of a biologic mesh following repair of abdominal wall hernia

The use of biologic mesh, which is considered resistant to infection, has become common. It is preferred over synthetic mesh for use in contaminated fields. Fungal infection with infiltration of biologic mesh is rare and has not been reported. In this paper, we report a case of a patient who underwe...

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Detalles Bibliográficos
Autores principales: Abter, Elfatih I., Apelgren, Keith, Salem, Gary, Toribio, Ruben
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4762781/
https://www.ncbi.nlm.nih.gov/pubmed/26952146
http://dx.doi.org/10.1016/j.idcr.2014.06.001
Descripción
Sumario:The use of biologic mesh, which is considered resistant to infection, has become common. It is preferred over synthetic mesh for use in contaminated fields. Fungal infection with infiltration of biologic mesh is rare and has not been reported. In this paper, we report a case of a patient who underwent multiple laparotomies and received multiple antibiotics and an azole antifungal. Biologic mesh was used, but it ultimately required removal because of chronic infection with Candida krusei. On biopsy, the yeast was found to have infiltrated the mesh.