Systemic candidiasis: an unusual complication of eating mutton
Bates, J.; Dollery, C.T.; Cohen, J.; Schulenburg, E.; Calam, J.
BMJ 299(6698): 557-558
1989
ISSN/ISBN: 0959-8138 PMID: 2507070 Document Number: 346749
A case is reported in a 36-yr-old man who was referred from Greece with a fever of unknown origin. He had previously undergone a laparotomy for peritonitis and perforation of the small bowel was found, possibly caused by a meat bone which was also found. His examination included funduscopy which revealed white fluffy lesions characteristic of candidal endophthalmitis and CT of the thorax revealing pleural effusion and left costochondral lesions with soft tissue swelling and bony destruction. Agglutination and precipitin serological testing for Candida yielded positive results. Disseminated Candida infection was diagnosed and amphotericin B and flucytosine were administered. A vitrectomy was performed and intraocular amphotericin B inoculated into the aqueous humour. The patient made a full and uncomplicated recovery. A discussion of the case follows.