Mediastinitis: Could your case be a candidate for candida?
نویسندگان
چکیده
BACKGROUND Candida mediastinitis is rare, but mortality has been reported as high as 50%. There are no clinical trials evaluating treatment of Candida mediastinitis and there are only a limited number of reports in the literature. CASE REPORT We present two cases of mediastinitis after coronary artery bypass grafting due to Candida albicans. Immunosuppression and long surgical procedures were likely risk factors for the infections. After multiple hospitalizations and debridements there was concern for the development of resistance. However, the isolates were determined to be fluconazole-susceptible and the patients were treated with long-term oral fluconazole. CONCLUSIONS Candida mediastinitis is difficult to treat. Even with appropriate treatment, patients may require numerous surgical debridements.
منابع مشابه
Candida famata mediastinitis. A rare complication of open heart surgery. Case report and brief review
Candida mediastinitis is a rare complication of open heart surgery with high mortality and morbidity usually associated with C. albicans. We are reporting the case of a 57 year old male who after having a triple coronary artery bypass graft procedure, had mediastinitis caused by Candida famata, a yeast, that had only been reported once before as the causal agent of this condition. It is of vita...
متن کاملCandida 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 presented with cervical necrotizing fasciitis and descending mediastinitis. She was promptly managed wit...
متن کاملEnterococcus faecium Mediastinitis Complicated by Disseminated Candida parapsilosis Infection after Congenital Heart Surgery in a 4-Week-Old Baby
Background. Cardiac surgery offers multiple treatment options for children with congenital heart defects. However, infectious complications still remain a major cause of morbidity and mortality in these patients. Mediastinitis is a detrimental complication in children undergoing cardiac surgery. The risk of mediastinitis after delayed sternal closure is up to 10%. Case Presentation. We report a...
متن کاملمدیاستینیت حاد نکروزان: گزارش سری چهارتایی بیماران
Background: Acute Necrotizing Mediastinitis (ANM) is a lethal disease that without antibiotic therapy and surgical Intervention has a mortality rate about 40% in best medical centers. With development of imaging technology (spiral CT- Scan) and shortening in time of diagnosis and surgery, the outcome and prognosis of the patients are improved. The surgical modalities are trans- cervical and tra...
متن کاملResumption of peritoneal dialysis after transcutaneous treatment of a peritoneal leakage using fibrin glue.
Torulopsis famata and Debaryomyces hansenii, the yeast is found in many dairy products like cheese. It is an opportunistic pathogen that is commensal in the oral cavity. The fungus has been implicated in sporadic case reports as causing onychomycosis, systemic blastomycosis, extrinsic allergic alveolitis, systemic fungaemia and endopthalmitis. Candida famata has been very rarely isolated in the...
متن کامل