title: Septic pulmonary embolism caused by Candida albicans after treatment for urinary multidrug-resistant Pseudomonas aeruginosa.
abstract: After treatment with antimicrobial chemotherapy for the elimination of urinary multidrug-resistant Pseudomonas aeruginosa (MDRP), a 48-year-old man with recurrence of bladder cancer complained of acute onset of dyspnea, and computed tomography revealed multiple nodular lesions in the lung. Candida albicans was isolated from both urinary and blood samples. He was diagnosed as having a septic pulmonary embolism caused by C. albicans. Fungal septic pulmonary embolism is a rare condition; however, we must be cautious about superinfection as a consequence of strong antimicrobial chemotherapy, and understand that the treatment for urinary MDRP is likely to be difficult.
authors.affiliation: Department of Urology, Sapporo Medical University School of Medicine, S 1, W 16, Chuo-ku, Sapporo, Hokkaido, 060-8543, Japan. stakahas@sapmed.ac.jp
authors.forename: Satoshi
authors.initials: S
authors.lastname: Takahashi
authors.forename: Teruhisa
authors.initials: T
authors.lastname: Uehara
authors.forename: Masaki
authors.initials: M
authors.lastname: Shima
authors.forename: Shogo
authors.initials: S
authors.lastname: Takasugi
authors.forename: Kohei
authors.initials: K
authors.lastname: Hashimoto
authors.forename: Naoki
authors.initials: N
authors.lastname: Itoh
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001769:Blood / Q000382:microbiology; D002176:Candida albicans / Q000302:isolation & purification*; D002177:Candidiasis / Q000382:microbiology*; D024901:Drug Resistance, Multiple, Bacterial; D016469:Fungemia / Q000382:microbiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011552:Pseudomonas Infections / Q000188:drug therapy* / Q000382:microbiology; D011550:Pseudomonas aeruginosa / Q000187:drug effects*; D011655:Pulmonary Embolism / Q000382:microbiology*; D014556:Urine / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents