Candida parapsilosis associated with cervical necrotizing fasciitis and descending mediastinitis

BACKGROUND: This report presents an immunocompetent lady suffering from Candida parapsilosis associated with polybacterial cervical necrotizing fasciitis and descending mediastinitis. A literature review and management of invasive candidiasis is discussed. METHODS: A 57-year-old healthy lady present...

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Detalles Bibliográficos
Autores principales: Lee, Chung-ching, Choi, Wing-kei, Chan, Jimmy Yu-wai
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5400494/
https://www.ncbi.nlm.nih.gov/pubmed/28458871
http://dx.doi.org/10.1093/jscr/rjx065
Descripción
Sumario:BACKGROUND: This report presents an immunocompetent lady suffering from Candida parapsilosis associated with polybacterial cervical necrotizing fasciitis and descending mediastinitis. A literature review and management of invasive candidiasis is discussed. METHODS: A 57-year-old healthy lady presented with cervical necrotizing fasciitis and descending mediastinitis. She was promptly managed with emergency debridement. Both blood and tissue culture yielded multiple microorganisms including C. parapsilosis. RESULTS: The patient recovered progressively. She was discharged 2 months later. CONCLUSIONS: Fungal infection is emerging in this medical era. Vigilance in patient management and as well as considering atypical microorganisms in aetiology may improve patient outcome.

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