Management of candidiasis in the surgical patient
Lewis, P.; Salaman, R.A.; Aubrey, D.A.
British Journal of Clinical Practice 44(12): 711-712
1990
ISSN/ISBN: 0007-0947 PMID: 2102205 Document Number: 364158
A case is reported in a 60-yr-old man who developed a pancreatic abscess and Candida sepsis following a biliary bypass procedure. The mass was drained percutaneously and culture of fluid yielded C. albicans. Urine culture was also positive for Candida, but blood cultures were consistently negative. The patient was treated with fluconazole (200 then 100 mg/d) and drainage was maintained for 2 wks. In view of continued culture of Candida from drainage fluid, continuous irrigation was employed and 25 mg amphotericin B was added to the irrigant once daily. After 2 wks, the patient remained asymptomatic and after 5 wks fluconazole was stopped. One week later, when culture of the drain fluid was sterile, the drain was removed. Management of candidosis in the surgical patient is discussed.