Septic pulmonary embolism caused by Candida albicans after treatment for urinary multidrug-resistant Pseudomonas aeruginosa.
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.
Takahashi
Satoshi
S
Department of Urology, Sapporo Medical University School of Medicine, S 1, W 16, Chuo-ku, Sapporo, Hokkaido, 060-8543, Japan. stakahas@sapmed.ac.jp
Uehara
Teruhisa
T
Shima
Masaki
M
Takasugi
Shogo
S
Hashimoto
Kohei
K
Itoh
Naoki
N
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
D000900:Anti-Bacterial Agents