title: Getting it right first time in a patient with Candida peritonitis.
abstract: Here a patient is presented with a mediastinitis, pleural empyema and peritonitis with Candida glabrata and Enterococcus faecium after a complicated robot-assisted thoracolaparoscopic oesophagolymphadectomy esophagectomy. This case description highlights some of the therapeutic dilemmas that physicians face when treating critically ill patients with health care-associated invasive Candida infections. The current guidelines and treatment with echinocandins are discussed.
authors: Department of Intensive Care, University Medical Center, Utrecht, The Netherlands. D.W.deLange@umcutrecht.nl
authors: D W
authors: DW
authors: de Lange
mesh_terms: D000935:Antifungal Agents / Q000008:administration & dosage; D041221:Candida glabrata / Q000302:isolation & purification*; D002177:Candidiasis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D054714:Echinocandins / Q000008:administration & dosage; D004653:Empyema / Q000175:diagnosis / Q000382:microbiology; D016984:Enterococcus faecium / Q000302:isolation & purification; D016629:Esophagectomy / Q000009:adverse effects; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis / Q000382:microbiology; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000175:diagnosis / Q000382:microbiology; D008875:Middle Aged; D010538:Peritonitis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D011183:Postoperative Complications / Q000175:diagnosis / Q000382:microbiology; D013902:Radiography, Thoracic
chemical_list: D000935:Antifungal Agents; D054714:Echinocandins