[Beware of yeast septicemia in intensive care medicine].
A retrospective study of 24 cases of systemic candidosis observed in a polyvalent intensive care unit over a 6.5 yr period (1987-1993) led to some constatations: an increasingly high incidence of this type of septicaemia (up to 27.5% of all septicaemias), large responsibility of skin saprophytes Candida ( > 62% vs 21% from intestinal Candida albicans), frequent diagnostic difficulties, and a fatal outcome in 7/24 patients (mainly from severe causal illness). In order to improve the prognosis, a more systematic and often empirical resort to fungicidal agents could be justified whenever patients with very severe surgical or medical conditions develop a protracted fever of unclear origin.
Dhahri
M A
MA
Département d'Anesthésie-Réanimation de l'Hôpital Militaire de Tunis, Montfleury, Tunisie.
Jebali
A
A
Lamine
K
K
Labbene
I
I
Ferjani
M
M
D000328:Adult; D000368:Aged; D001769:Blood / Q000382:microbiology; D002177:Candidiasis / Q000150:complications*; D003422:Critical Care; D006801:Humans; D007049:Iatrogenic Disease; D008875:Middle Aged; D012189:Retrospective Studies; D018805:Sepsis / Q000453:epidemiology / Q000209:etiology*
Alerte aux septicémies à levures en réanimation polyvalente.