Wound infection due to Absidia corymbifera and Candida albicans with fatal outcome.
A case of a mixed infection due to Candida albicans and the zygomycete Absidia corymbifera in a 38-year-old, previously healthy, Caucasian male is presented. The infection developed following serial rib fractures, and ruptures of kidney, liver and biliary tract as well as a pancreatic contusion resulting from a traffic accident. During intensive care treatment the patient underwent several surgical procedures but subsequently experienced multi-organ failure and sepsis. Some weeks later, fungal growth was observed macroscopically on the patient's skin and wounds. From wound swabs C. albicans and A. corymbifera were grown. Histopathology of abdominal tissue yielded pseudohyphae and coenocytic hyphae. Although surgical debridement and antifungal treatment with amphotericin B and 5-flucytosine were started immediately, the patient died in therapy-refractory septic multi-organ failure.
Institute for Medical Microbiology and Immunology, University of Bonn, Bonn, Germany. horre@bfarm.de
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R
Horré
B
B
Jovanić
S
S
Herff
G
G
Marklein
H
H
Zhou
I
I
Heinze
G S
GS
De Hoog
R
R
Rüchel
K P
KP
Schaal
D020095:Absidia / Q000302:isolation & purification*; D000328:Adult; D002176:Candida albicans / Q000302:isolation & purification*; D002177:Candidiasis / Q000150:complications* / Q000382:microbiology / Q000473:pathology; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D009091:Mucormycosis / Q000150:complications* / Q000382:microbiology / Q000473:pathology; D014946:Wound Infection / Q000382:microbiology* / Q000473:pathology