Pyomyositis with hepatic and perinephric abscesses caused by Candida albicans in a diabetic nephropathy patient.
Both disseminated candidiasis and pyomyositis are rare and mainly encountered in severely immunocompromised hosts. To our knowledge, Candida albicans related pyomyositis with formation of multiple visceral abscesses in a diabetic nephropathy patient has never previously been reported. A 47-year-old man with diabetic nephropathy and alcoholic liver disease developed disseminated candidiasis, with the initial presentation of pyomyositis. Debridement was performed and intravenous fluconazole commenced. Despite development of a single hepatic and multiple perinephric abscesses, the patient made a full recovery after completion of a 12-week course of intravenous fluconazole therapy. Candida species should be considered a potential pathogen in patients with predisposing factors.
Tsai
Shih-Hung
SH
Division of Infectious Diseases, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Peng
Yi-Jen
YJ
Wang
Ning-Chi
NC
D018784:Abdominal Abscess / Q000150:complications / Q000175:diagnosis*; D000935:Antifungal Agents / Q000627:therapeutic use; D002176:Candida albicans / Q000187:drug effects / Q000302:isolation & purification; D002177:Candidiasis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D003928:Diabetic Nephropathies / Q000150:complications*; D003937:Diagnosis, Differential; D015725:Fluconazole / Q000627:therapeutic use; D006801:Humans; D007674:Kidney Diseases / Q000150:complications / Q000175:diagnosis; D008100:Liver Abscess / Q000150:complications / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009220:Myositis / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D014057:Tomography, X-Ray Computed
D000935:Antifungal Agents; D015725:Fluconazole