Successful conservative treatment of a candida albicans intraperitoneal mesh infection following laparoscopic ventral hernia repair.
BACKGROUND
Fungal mesh infections are a poorly documented complication following abdominal wall hernia repairs.


METHODS
We report the case of a 65-year-old female with a Candida albicans mesh infection after laparoscopic emergency repair of a large para-umbilical hernia. She was treated conservatively with antifungal therapy and regular washouts.


CONCLUSIONS
Mesh infections are notoriously difficult to treat and frequently require removal of the mesh. The most common pathogens are Staphylococcus species. Fungal mesh infections are uncommon and their treatment is not well documented in the literature.


CONCLUSIONS
It is possible to treat candida albicans infection of intraperitoneal mesh without the need for surgical debridement or mesh removal by antifungal therapy and regular washouts alone.
Perth Royal Infirmary, Taymount Terrace, Perth, PH1 1NX, UK. andreasluhmann@hotmail.com.|Ninewells Hospital, Department of Surgery, Dundee, DD1 9SY, UK. andreasluhmann@hotmail.com.
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Luhmann
Perth Royal Infirmary, Taymount Terrace, Perth, PH1 1NX, UK.
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Moses
D000368:Aged; D000935:Antifungal Agents / Q000627:therapeutic use; D002176:Candida albicans; D002177:Candidiasis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D005260:Female; D015725:Fluconazole / Q000627:therapeutic use; D006555:Hernia, Ventral / Q000601:surgery*; D059685:Herniorrhaphy / Q000009:adverse effects*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D013526:Surgical Mesh / Q000009:adverse effects*; D007507:Therapeutic Irrigation
D000935:Antifungal Agents; D015725:Fluconazole
Candida albicans; Conservative treatment; Mesh infection; Ventral hernia repair