Candida albicansosteomyelitis as a cause of chest pain and visual loss
| Autor: | Rita Magano, Luís Trindade, Joana Cortez, Evelise Ramos |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Chest Pain medicine.medical_specialty Antifungal Agents Ribs Blindness Chest pain Article law.invention law Amphotericin B Candida albicans medicine Humans Fluconazole biology business.industry Osteomyelitis Candidiasis General Medicine medicine.disease biology.organism_classification Costal cartilage Intensive care unit Surgery medicine.anatomical_structure medicine.symptom Complication business Rare disease medicine.drug |
| Zdroj: | BMJ Case Reports. :bcr2015211327 |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2015-211327 |
| Popis: | Candida albicans osteomyelitis is a rare disease that occurs in immunocompromised individuals, sometimes with a late diagnosis related to the mismatch between symptoms and candidemia. This case refers to a 36-year-old male patient with a history of oesophageal surgery for achalasia with multiple subsequent surgeries and hospitalisation in the intensive care unit for oesophageal fistula complication. Four months after discharge, the patient was admitted to the infectious diseases department with pain in the 10th-12th left ribs, swelling of the 4th-6th costal cartilage and decreased visual acuity. An MRI study showed thickening and diffuse enhancement, with no defined borders in the cartilage and ribs, compatible with infection. After performing a CT-guided bone biopsy, isolated C. albicans sensitive to antifungal agents was detected. The patient started therapy with liposomal amphotericin B and maintenance fluconazole for 6 months and showed clinical and radiological improvement within this time. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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