Abstract
Normal insan florasında bulunan Candida türleri, immunsüpresyon gelişmesi halinde infeksiyona neden olabilir. Candida infeksiyonları sıklıkla albikans suşlarıyla gözlenmekle beraber, son zamanlarda albikans dışı suşlar ile olan infeksiyonların sıklığı artmıştır. Albikans dışı suşlar ile oluşan infeksiyonlar, özellikle yoğun bakım ünitelerinde yatan hastalarda, üriner sistem infeksiyonundan sepsise kadar değişen klinik bulgular ile karşımıza çıkabilir. Bunlardan biri olan Candida Kefyr nadiren saptanabilen fungal bir patojendir. Bu olgu sunumunda, myelodisplastik sendrom zemininde gelişen ve etyolojisinde Candida Kefyr’in saptandığı pnömoni olgusu sunuldu. Ampirik olarak başlanan kaspofungin tedavisine klinik yanıt alındı.
References
- Borg von Zepelin M, Eiffert H, Kann M et al. Changes in the spectrum of fungal isolates: results from clinical specimens gathered in 1987/1988 compared with those in 1991/1992 in the University Hospital Gottigen, Germany. Mycoses 1993; 36:247-253.
- Corpus K, Hegeman-Dingle R, Bajjoka I. Candida kefyr, an uncommon but emerging fungal pathogen: report of two cases. Pharmacotherapy 2004; 24:1084-1088.
- Di Bonaventura G, Spedicato I, Picciani C et al. In vitro pharmacodynamic characteristics of amphotericin B, caspofungin, fluconazole and voriconazole against bloodstream isolates of infrequent Candida species from patients with hematologic malignancies. Antimicrob Agents Chemother 2004; 48:4453-4456.
- Dorko E, Kmetova M, Pilipcinec E et al. Rare non-albicans Candida species detected in different clinical diagnoses. Folia Microbiol (Praha) 2000; 45:364-368.
- Farina C, Vailati F, Manisco A, Goglio A. Fungaemia survey: a 10-year experience in Bergamo, Italy. Mycoses 1999; 42:543-548.
- Hodgin UG Jr. Cystitis due to Candida pseudotropicalis. Rocky Mt Med J 1969; 66:30-32.
- Larone DH 1995. Medically Important Fungi- A Guide to Identification, 3 rd ed. ASM Press, Washington, D.C.
- Krcmery V, Barnes AJ. Non-albicans Candida spp. causing fungaemia: pathogenicity and antifungal resistance. J Hosp Infect. 2002; 50:243-260.
- Nguyen MH, Peacock JE Jr, Morris AJ. The changing face of candidemia: emergence of non-Candida albicans species and antifungal resistance. Am J Med 1996; 100:617-623.
Abstract
References
- Borg von Zepelin M, Eiffert H, Kann M et al. Changes in the spectrum of fungal isolates: results from clinical specimens gathered in 1987/1988 compared with those in 1991/1992 in the University Hospital Gottigen, Germany. Mycoses 1993; 36:247-253.
- Corpus K, Hegeman-Dingle R, Bajjoka I. Candida kefyr, an uncommon but emerging fungal pathogen: report of two cases. Pharmacotherapy 2004; 24:1084-1088.
- Di Bonaventura G, Spedicato I, Picciani C et al. In vitro pharmacodynamic characteristics of amphotericin B, caspofungin, fluconazole and voriconazole against bloodstream isolates of infrequent Candida species from patients with hematologic malignancies. Antimicrob Agents Chemother 2004; 48:4453-4456.
- Dorko E, Kmetova M, Pilipcinec E et al. Rare non-albicans Candida species detected in different clinical diagnoses. Folia Microbiol (Praha) 2000; 45:364-368.
- Farina C, Vailati F, Manisco A, Goglio A. Fungaemia survey: a 10-year experience in Bergamo, Italy. Mycoses 1999; 42:543-548.
- Hodgin UG Jr. Cystitis due to Candida pseudotropicalis. Rocky Mt Med J 1969; 66:30-32.
- Larone DH 1995. Medically Important Fungi- A Guide to Identification, 3 rd ed. ASM Press, Washington, D.C.
- Krcmery V, Barnes AJ. Non-albicans Candida spp. causing fungaemia: pathogenicity and antifungal resistance. J Hosp Infect. 2002; 50:243-260.
- Nguyen MH, Peacock JE Jr, Morris AJ. The changing face of candidemia: emergence of non-Candida albicans species and antifungal resistance. Am J Med 1996; 100:617-623.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Reports |
| Authors | |
| Publication Date | November 15, 2011 |
| Submission Date | November 15, 2011 |
| Published in Issue | Year 2005 Volume: 68 Issue: 1 |
Cite
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