Candida fasciitis following renal transplantation.
BACKGROUND
We describe a rare case of necrotizing fasciitis involving Candida albicans, an organism that has been reported to have a minimal potential for invasive soft tissue infection. In this case, immunosuppression, chronic renal failure, and a history of diabetes mellitus were predisposing factors.


METHODS
The medical record and histopathologic material were examined. The clinical literature was reviewed for previous cases of C albicans necrotizing fasciitis.


RESULTS
A review of the literature showed that in solid organ transplant recipients, localized fungal soft tissue infection is infrequent, with only 35 cases reported between 1974 and 1992. Necrotizing fasciitis caused by C albicans is extremely rare in the modern era of solid organ transplantation.


CONCLUSIONS
The management of transplant patients at risk for invasive fungal infection warrants a high index of suspicion for fungal necrotizing fasciitis in the setting of wound infection and merits a thorough investigation for atypical pathogens.
Wai
P H
PH
Department of Surgery, Georgetown University Medical Center, Washington, DC, USA.
Ewing
C A
CA
Johnson
L B
LB
Lu
A D
AD
Attinger
C
C
Kuo
P C
PC
D002177:Candidiasis / Q000209:etiology; D003928:Diabetic Nephropathies / Q000150:complications; D005208:Fasciitis / Q000382:microbiology*; D006801:Humans; D007165:Immunosuppression Therapy / Q000009:adverse effects; D007676:Kidney Failure, Chronic / Q000150:complications / Q000601:surgery; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications