Abstract

ALONSO, Iago Justo et al. Massive intra-abdominal candida infection secondary to digestive surgery in inmunocompetent patients: A report on 2 cases. Infect. [online]. 2016, vol.20, n.4, pp.265-268. ISSN 0123-9392.  https://doi.org/10.1016/j.infect.2015.05.005.

Candida spp. as cause of diffuse intraabdominal infection is very rare. Often associated with immunocompromised or patients with advanced tumor disease. We are reporting 2 cases of gastrointestinal perforation secondary to invasive candidiasis. The first case, a 68 years old female with a Candida spp. duodenal perforation. An emergency exploratory laparotomy was performed and a duodenal perforation repair was done. However, the patient required 2 more reoperation due to Candida spp. macroscopic intra-abdominal disemination. The second case, is presented in the context of a postoperative period of a right hemicolectomy, pancreatitis associating abdominal spread and subsequent secondary fungal Candida parapsilopsis with multiple infectious complications.

In both cases there were unsuccessful surgical resection and antifungal change. The early antifungal treatment prevents hematogenous dissemination and septic shock, reducing the morbidity and mortality of these patients.

Keywords : Candida spp.; Duodenal perforation; Fungal infection.

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