title: An unusual case of candidemia presenting as acute respiratory distress syndrome after a small bowel bezoar removal operation.
abstract: We report a rare case of sepsis with acute respiratory distress syndrome (ARDS) caused by Candida parapsilosis and Candida famata after a small bowel bezoar operation. The patient was successfully treated with intensive care including mechanical ventilation and systemic antifungal therapy. A strong association was observed between the intestinal obstruction caused by the bezoar and candidemia presenting as ARDS. This is the first case in which candidemia has led to ARDS after a bezoar removal operation in a patient who was neither immunocompromised nor self-administering an illicit intravenous drug.
authors.affiliation: Department of Surgery, Eulji University Hospital, Daejeon, Korea.
authors.forename: Yun Su
authors.initials: YS
authors.lastname: Mun
authors.affiliation: Department of Surgery, Eulji University Hospital, Daejeon, Korea.
authors.forename: Moon-Soo
authors.initials: MS
authors.lastname: Lee
authors.affiliation: Department of Surgery, Eulji University Hospital, Daejeon, Korea.
authors.forename: Joo Seung
authors.initials: JS
authors.lastname: Park
authors.affiliation: Emergency ICU, Chungnam National University Hospital, Daejeon, Korea.
authors.forename: Jun Wan
authors.initials: JW
authors.lastname: Lee
authors.affiliation: Department of Internal Medicine, Eulji University Hospital, Daejeon, Korea.
authors.forename: Sun-Young
authors.initials: SY
authors.lastname: Jung
authors.affiliation: Department of Internal Medicine, Eulji University Hospital, Daejeon, Korea.
authors.forename: Hee Jung
authors.initials: HJ
authors.lastname: Yoon
authors.affiliation: Department of Radiology, Eulji University Hospital, Daejeon, Korea.
authors.forename: Hyun-Young
authors.initials: HY
authors.lastname: Han
keywords: Acute respiratory distress syndrome; Candidemia; Small bowel bezoar