Intraabdominal abscess due to Candida glabrata: case report

Yıl 2019, , 345 - 348, 01.09.2019

Pınar Gürkaynak Şerife Altun Demircan Salih Cesur , Çiğdem Ataman Hatipoğlu Hüseyin Yağcı Sami Kınıklı Gül Gürsoy

https://doi.org/10.21601/ortadogutipdergisi.437106

Öz

Intraabdominal abscesses occur rarely due to Candida species. The most important specific risk factors that cause this kind of abscesses are surgical operations, gastrointestinal perforations and gastrointestinal anastomotic leaks. Non-specific risk factors include; diabetes mellitus, immunosuppression, prolonged antibiotic use and admission to intensive care unit. In this article, a 63 year-old female patient’s, who had previously undergone extensive spectrum antibiotic treatment, intraabdominal abscess case occurred due to Candida glabrata is presented.

Anahtar Kelimeler

intraabdominal abscess, Candida glabrata, case report

Candida glabrata’ya bağlı gelişen intraabdominal apse: olgu sunumu

Öz

İntraabdominal apseler nadir olarak Candida türlerine bağlı olarak gelişir. Bu tür apselere sebep olan en önemli spesifik risk faktörleri; cerrahi girişimler, gastrointestinal perforasyonlar ve gastrointestinal anastomoz kaçaklarıdır. Spesifik olmayan risk faktörleri arasında ise; diabetes mellitus, immunsüpresyon, uzun süreli antibiyotik kullanımı ve yoğun bakım ünitesinde yatış gibi etkenler yer almaktadır. Bu yazıda, geniş spektrumlu antibiyotik tedavisi almış 63 yaşında diyabetik bir kadın hastanın Candida glabrata’ya bağlı olarak gelişen intraabdominal apse vakası sunulmuştur.

Anahtar Kelimeler

intraabdominal apse, Candida glabrata, olgu sunumu

Kaynakça

• Barshak MB. Antimicrobial approach to intraabdominal infections in adults. https://www.uptodate.com/contents/antimicrobial-approach-to-intra-abdominal-infections-in-adults
• Brook I, Frazier EH. Aerobic and anaerobic microbiology in intra-abdominal infections associated with diverticulitis. J Med Microbiol 2000; 49: 827.
• Brook I, Frazier EH. Microbiology of subphrenic abscesses: a 14-year experience. Am Surg 1999; 65: 1049.
• Carol A Kauffman. Candida infectionsof the abdomen and thorax. https://www.uptodate.com/contents/candida-infections-of-the-abdomen-and-thorax
• Patel BC, Wayangankar SA, Ngo E, Chakrabarty S, Bronze MS. Primary retroperitoneal abscess caused by Candida glabrata. Am J Med Sci 2012; 344: 332-4.
• Oğuz VA, Baykam N, Sökmen S, ve ark. İntra-abdominal enfeksiyonlar için öneriler “Uzlaşı Raporu”. Mediterr J Infect Microb Antimicrob 2016; 5: 7.
• Eckmann C, Dryden M, Montravers P, Kozlov R, Sganga G. Antimicrobial treatment of “complicated” intra-abdominal infections and the new IDSA guidelines? A commentary and an alternative European approach according to clinical definitions. Eur J Med Res 2011; 16: 115-26.
• Sartelli M. A focus on intra-abdominal infections. World J Emerg Surg 2010; 5: 9.
• Sandven P, Qvist H, Skovlund E, ve ark. Significance of Candida recovered from intraoperative specimens in patients with intra-abdominal perforations. Crit Care Med 2002; 30: 541.
• Vege SS, Gardner TB, Chari ST, ve ark. Outcomes of intra-abdominal fungal vs. bacterial infections in severe acute pancreatitis. Am J Gastroenterol 2009; 104: 2065.
• Cheng S, Clancy CJ, Hartman DJ, Hao B, Nguyen MH. Candida glabrata intra-abdominal candidiasis is characterized by persistence within the peritoneal cavity and abscesses. Infect. Immun 2014; 82: 3015-22.
• Vergidis P, Clancy CJ, Shields RK, ve ark. Intra-abdominal candidiasis: the importance of early source control and antifungal treatment. PloS One 2016; 11: e0153247.