title: [Persistent candidemia in a renal-pancreatic transplant patient].
abstract: BACKGROUND
  In recent decades, there has been an increase in the survival of recipients of solid organ transplants related to the improvement of the surgical technique, the introduction of protocols for immunosuppressive therapy, and the use of antimicrobial prophylaxis. Nonetheless, invasive fungal infection (IFI) is currently the major cause of morbidity and mortality in this group of patients. Invasive candidiasis is the most common IFI found after renal transplantation and is usually associated with total parenteral nutrition, broad-spectrum antibiotic therapy and abdominal surgery.
  
  
  METHODS
  We report the case of a recent kidney-pancreas transplant recipient who developed a persistent catheter-related candidemia caused by Candida glabrata. The patient was treated with anidulafungin and had a good clinical course with no significant drug interactions. We discuss the possible causes and diagnostic and therapeutic alternatives of this kind of infection.
authors.affiliation: Servicio de Medicina Intensiva, Complexo Hospitalario Universitario A Coruña, A Coruña, España.
authors.forename: Miguel
authors.initials: M
authors.lastname: Solla-Buceta
authors.forename: Ana
authors.initials: A
authors.lastname: Hurtado-Doce
authors.forename: Luis
authors.initials: L
authors.lastname: Álvarez-Rocha
mesh_terms: D000328:Adult; D041221:Candida glabrata; D058387:Candidemia / Q000188:drug therapy*; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D016035:Pancreas Transplantation; D011183:Postoperative Complications / Q000188:drug therapy*