[Fungal infections in patients with necrotizing pancreatitis: risk-factors, incidence, therapy].
Haemorraghic necrotizing pancreatitis may lead to a serious disease with multi-organ failure, which is to be treated with intensive care. Patients suffering from infected necrosis are usually operated (necrosectomy). By doing this, it is possible to get a microbiological analysis. The most common virulent species are Enterobacteriaceae. According to the literature, fungal infections appear in 15-30% of the cases. Since 1996, 73 patients were treated surgically in our department. A number of 50 patients (68,5%) developed a fungal infection during the course of the disease. The mortality rate was 62%.
Kujath
P
P
Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein, D-23538 Lübeck, Germany. kujath-luebeck@t-online.de
Rosenfeldt
M
M
Esnaashari
H
H
Scheele
J
J
Bouchard
R
R
D000935:Antifungal Agents / Q000627:therapeutic use; D002176:Candida albicans; D002177:Candidiasis / Q000150:complications / Q000382:microbiology / Q000401:mortality / Q000601:surgery; D004756:Enterobacteriaceae Infections / Q000150:complications / Q000382:microbiology / Q000401:mortality; D006801:Humans; D015994:Incidence; D019283:Pancreatitis, Acute Necrotizing / Q000150:complications* / Q000382:microbiology / Q000401:mortality / Q000601:surgery; D012307:Risk Factors
D000935:Antifungal Agents