Fournier Gangrene Caused by Candida albicans in an Infant After Cardiac Surgery.
Fournier gangrene is a rare, rapidly progressive, life-threatening condition. We report a 23-day-old boy with pulmonary atresia and ventricular septal defect treated surgically, who developed Fournier gangrene. Emergency surgery was performed with tissue sampling for microbiological examination. Candida albicans was confirmed; caspofungin followed by fluconazole was administered with excellent results.
Department of Pediatric Cardiac Surgery, Copernicus Hospital in Gdansk, Al. Jana Pawla II 50, 80-462, Gdansk, Poland. radicis@go2.pl.
Radoslaw
R
Jaworski
Department of Pediatrics, Hematology and Oncology, Medical University of Gdansk, ul. Debinki 7, 80-210, Gdansk, Poland.
Ninela
N
Irga-Jaworska
Department of Clinical Microbiology, Hospital of the Medical University of Gdansk, ul. Debinki 7, 80-952, Gdansk, Poland.
Łukasz
Ł
Naumiuk
Department of Pediatric Cardiac Surgery, Copernicus Hospital in Gdansk, Al. Jana Pawla II 50, 80-462, Gdansk, Poland.
Maciej
M
Chojnicki
Department of Pediatric Cardiac Surgery, Copernicus Hospital in Gdansk, Al. Jana Pawla II 50, 80-462, Gdansk, Poland.|Chair of Physiotherapy, Department of Rehabilitation and Kinesiology, Gdansk University of Physical Education and Sport, ul. Kazimierza Górskiego 1, 80-336, Gdansk, Poland.
Ireneusz
I
Haponiuk
D000935:Antifungal Agents / Q000627:therapeutic use; D002176:Candida albicans / Q000302:isolation & purification*; D002179:Candidiasis, Cutaneous / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology*; D000077336:Caspofungin; D054714:Echinocandins / Q000627:therapeutic use; D015725:Fluconazole / Q000627:therapeutic use; D018934:Fournier Gangrene / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology*; D006801:Humans; D007231:Infant, Newborn; D055666:Lipopeptides / Q000627:therapeutic use; D008297:Male; D012611:Scrotum / Q000382:microbiology / Q000473:pathology*; D013903:Thoracic Surgery; D016896:Treatment Outcome
D000935:Antifungal Agents; D054714:Echinocandins; D055666:Lipopeptides; D015725:Fluconazole; D000077336:Caspofungin
Candida albicans infection; Congenital heart defects; Echinocandins; Fluconazole; Fournier gangrene; Pediatric cardiac surgery