坏死性胰腺炎伴有白念珠菌和泛耐药念珠菌引起的侵袭性念珠菌病和念珠菌血症

IF 1.6 Q3 MEDICINE, RESEARCH & EXPERIMENTAL

Medical Mycology Case Reports Pub Date : 2024-02-20 DOI:10.1016/j.mmcr.2024.100636

Laman Rahimli , Jon Salmanton-García , Philipp Kasper , Michaela Simon , Oliver A. Cornely , Jannik Stemler

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引用次数: 0

摘要

我们报告了一名患有坏死性胰腺炎、侵袭性念珠菌病和念珠菌血症的 64 岁男性患者。尽管患者接受了包括抗真菌治疗、内窥镜干预和手术在内的多学科治疗，但感染仍在发展，并导致结肠穿孔、腹膜后脓肿形成和多微生物血流感染。而对棘白念珠菌类药物产生的抗药性使病程进一步复杂化。本报告强调了对危重病人进行警惕性监测和探索替代治疗方法的必要性。

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Necrotizing pancreatitis with invasive candidiasis and candidemia due to Candida albicans and pan-echinocandin-resistant Candida glabrata

We report on a 64-year-old man with necrotizing pancreatitis related, invasive candidiasis, and candidemia. Despite a multidisciplinary management including antifungal therapy, endoscopic interventions and surgery, the patients’ infection progressed and lead to colon perforation, retroperitoneal abscess formation, and polymicrobial bloodstream infections. Resistance to echinocandins in Candida glabrata further complicated the course. This report emphasizes the need for vigilant monitoring and exploring alternative therapeutic approaches for patients in critical conditions.

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来源期刊

Medical Mycology Case Reports MEDICINE, RESEARCH & EXPERIMENTAL-

CiteScore

4.00

自引率

0.00%

发文量

审稿时长

47 days