Candida glabrata 감염에 의해 발생한 엉덩허리근 농양 1예
A Case of Psoas Abscess Caused by Candida glabrata
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Infections due to Candida species are becoming more frequent in several patient population and settings. The proportion of non-albicans Candida spp. causing candidemia has increased during the recent decades. Especially, fungaemia due to Candida glabrata has reduced susceptibility to azoles. We report a case of iliopsoas abscess caused by Candida glabrata. A 51-year-old male diabetic patient was admitted with fever and both hip joint pain. Abdominal CT scan revealed huge left iliopsoas intramuscular abscess and left perinephric abscess. The abscess was drained percutaneously. Cultures of the pus were positive for Candida glabrata. The patient’s condition improved after abscess drainage and was discharged with oral antifungal agent.
Abstract
Infections due to Candida species are becoming more frequent in several patient population and settings. The proportion of non-albicans Candida spp. causing candidemia has increased during the recent decades. Especially, fungaemia due to Candida glabrata has reduced susceptibility to azoles. We report a case of iliopsoas abscess caused by Candida glabrata. A 51-year-old male diabetic patient was admitted with fever and both hip joint pain. Abdominal CT scan revealed huge left iliopsoas intramuscular abscess and left perinephric abscess. The abscess was drained percutaneously. Cultures of the pus were positive for Candida glabrata. The patient’s condition improved after abscess drainage and was discharged with oral antifungal agent.
참고문헌 (19)
- Krcmery V, "Non-albicans Candida spp. causing fungaemia: pathogenicity and antifungal resistance", Hosp Infect, 50, pp.243~260 (2002)
- 오봉준, "칸디다혈증의 원인균종과 임상적 특성 분석", The Korean Journal of Laboratory Medicine, 25(5), pp.317~323 (2005), 대한진단검사의학회
- A Fidel PL Jr, "Candida glabrata: review of epidemiology, pathogenesis, and clinical disease with comparison to Candida albicans", Clin Microbiol Rev, 12, pp.80~96 (1999)
- Tan TY, "A retrospective analysis of antifungal susceptibilities of Candida blood stream iso lates from Singapore hospitals", Ann Acad Med Singapore, 37, pp.835~840 (2008)
- Crum-Cianflone NF, "Bacterial, fungal, parasitic, and viral myositis", Clin Microbiol Rev, 21, pp.473~494 (2008)
- Edmond MB, "Nosocomial bloodstream infections in United States hospitals: a three-year analysis", Clin Infect Dis, 29, pp.239~244 (1999)
- Weems JJ Jr, "Candida parapsilosis : Epidemiology, pathogenicity, clinical manifestations and antimicrobial susceptibility", Clin Infect Dis, 14, pp.756~766 (1992)
- Viudes A, "Candidaemia at a tertiary-care hospital: epidemiology, treatment, clinical outcome and risk factors for death", Eur J Clin Microbiol Infect Dis, 21, pp.767~774 (2002)
- Samonis G, "Candida albicans versus non-albicans blood stream infection in patients in a tertiary hospital : an analysis of microbiological data", Scand J infect Dis, 40, pp.414~419 (2008)
- Pfaller MA, "Twelves years of fluconazole in clinical practice: global trends in species distribution and fluconazole susceptibility of bloodstream isolates of Candida", Clin Microbiol Infect, 10(1), pp.11~23 (2004)
- Presterl E, "Changing pattern of candidaemia 2001-2006 and use of antifungal therapy at the University Hospital of Vienna, Austria", Clin Microbiol Infect, 13, pp.1072~1076 (2007)
- Thuraisingam AI, "Candida glabrata oesophagitis in a patient without HIV infection", Eur J Clin Microbiol Infect Dis, 19, pp.561~562 (2000)
- Drago M, "GISIA-2 Group. In vitro activity of voriconazole and other antifungal agents against clinical isolates of Candida glabrata and Candida krusei", Eur J Clin Microbiol Infect Dis, 23, pp.619~624 (2004)
- Tumbarello M, "Fungaemia caused by Candida glabrata with reduced susceptibility to fluconazole due to altered gene expression: risk factors, antifungal treatment and outcome", Antimicrob Chemother, 62, pp.379~385 (2008)
- National committee for clinical laboratory standards, "Reference method for broth dilution antifungal susceptibility testing of conidium-forming filamentous fingi. Proposed standard M38-P. Villanova, Pa. National Committee for clinical laboratory standards: 1998", ~ (1998)
- White TC, "Clinical, cellular, and molecular factors that contribute to antifungal drug resistance", Clin Microbiol Rev, 11, pp.382~402 (1998)
- Yacoub WN, "Psoas abscess rarely requires surgical intervention", Am J Surg, 196, pp.223~227 (2008)
- Charalampopoulos A, "Iliopsoas abscesses: Diagnostic, aetiologic and therapeutic approach in five patients with a literature review", Scand J Gastroenterol, 19, pp.1~6 (2009)
- Fukuhara S, "A case of psoas abscess caused by Candida albicans", Hinyokika Kiyo, 49, pp.141~143 (2003)