On a fatal case of Candida krusei pleural empyema in a pregnant woman with spontaneous esophagus perforation.
BACKGROUND
Candida empyema thoracis can be a consequence of operation, gastropleural fistula, and esophageal perforation. Case report and review of the literature. A fatal case of a 45-year-old pregnant woman with Candida krusei empyema thoracis secondary to spontaneous esophagus perforation associated with candida esophagitis is reported. The case is contextualized among similar cases found through a PubMed search.


CONCLUSIONS
A suspect of esophagus rupture should arise in the presence of a fungal empyema. Candida esophagitis should be always considered as a possible cause or con-cause of esophagus rupture. An empirical systemic antimycotic therapy should always be considered in an ideal multidisciplinary approach to the management of patients with esophagus rupture.
Unità Operativa di Medicina Tropicale e Parassitologia, Dipartimento di Patologia Umana, Università di Messina, Policlinico G. Martino, Via Consolare Valeria n. 1, 98125, Messina, Italy. acascio@unime.it
Antonio
A
Cascio
Mario
M
Barone
Vincenzo
V
Micali
Chiara
C
Iaria
Demetrio
D
Delfino
Antonio
A
David
Maurizio
M
Monaco
Francesco
F
Monaco
D002175:Candida / Q000145:classification / Q000302:isolation & purification; D002177:Candidiasis / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D016724:Empyema, Pleural / Q000150:complications* / Q000382:microbiology; D004939:Esophageal Perforation / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008875:Middle Aged; D010995:Pleural Diseases / Q000150:complications / Q000382:microbiology; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000382:microbiology*