Invasive yeast infection in patient with Acute pancreatitis

• Main Authors: Jana Simonova (Author), Lukas Cuchrac (Author), Jozef Firment (Author), Viktoria Takacova (Author), Ladislav Vasko (Author), Janka Vaskova (Author)
• Format: Book
• Published: Imaging Journal of Clinical and Medical Sciences - Peertechz Publications, 2017-11-29.
• Subjects: Case Report
• Online Access: Connect to this object online.

<p>The incidence of invasive yeast infections is rising in patients hospitalised in intensive care. Their early</p><p>diagnosis is problematic, although predictive models (Pitt's colonization index, Leon score and others)</p><p>can be helpful when deciding to initiate treatment. The incidence of candidiasis signifi cantly increases</p><p>the mortality of patients, although the timely commencement of antimycotic therapy is a key factor</p><p>in increasing their survival. In the present patient, antibiotic treatment with carbapenem was initiated</p><p>after CT verifi cation of necrosis with formation of abscesses and the onset of infl ammatory parameters.</p><p>After surgical review, septic shock developed with multi-organ failure. Microbiological examinations of</p><p>biological materials also revealed non-C. albicans yeast was present in haemocultures, so echinocandin</p><p>and anidulafungin were included in the treatment. C. parapsilosis persisted in haemocultures, while</p><p>negative haemoculture was obtained 14 days after the inclusion of liposomal amphotericin B.</p>