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.
Cascio
Antonio
A
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
Barone
Mario
M
Micali
Vincenzo
V
Iaria
Chiara
C
Delfino
Demetrio
D
David
Antonio
A
Monaco
Maurizio
M
Monaco
Francesco
F
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*