[Nosocomial Candida albicans septicemia in parenteral alimentation through a peripheral vein].
Fungal septicaemias during total parenteral nutrition are frequent, but their occurrence during parenteral nutrition via a peripheral vein is uncommon. A case of disseminated candidemia with ocular and renal localizations during parenteral nutrition via a peripheral vein is reported in a 24 year old patient hospitalized for primary cerebellar haemorrhage. The case history showed the importance of early ophthalmologic examination in all septicaemic cases. The diagnosis was confirmed by nine positive blood cultures and immunological tests, but the dosage of soluble antigens remained negative. The part played by a contaminated perfusion bottle out-of-date was suggested, but could not be proved absolutely. The assessment of the immune state could wrongly suggest an acquired immunodeficiency syndrome, for it has been demonstrated that Candida albicans itself had an immunosuppressive activity.
D000328:Adult; D000946:Antigens, Fungal / Q000032:analysis; D002177:Candidiasis / Q000175:diagnosis / Q000276:immunology; D003428:Cross Infection / Q000209:etiology*; D005128:Eye Diseases / Q000209:etiology; D006801:Humans; D008297:Male; D010289:Parenteral Nutrition, Total / Q000009:adverse effects*; D018805:Sepsis / Q000209:etiology*
D000946:Antigens, Fungal
Septicémie nosocomiale à Candida albicans au cours d'une alimentation parentérale sur veine périphérique.