Candida parapsilosis associated with cervical necrotizing fasciitis and descending mediastinitis.

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Candida parapsilosis associated with cervical necrotizing fasciitis and descending mediastinitis.

J Surg Case Rep. 2017 Apr;2017(4):rjx065

Authors: Lee CC, Choi WK, Chan JY

Abstract
BACKGROUND: This report presents an immunocompetent lady suffering from Candida parapsilosis associated with polybacterial cervical necrotizing fasciitis and descending mediastinitis. A literature review and management of invasive candidiasis is discussed.
METHODS: A 57-year-old healthy lady presented with cervical necrotizing fasciitis and descending mediastinitis. She was promptly managed with emergency debridement. Both blood and tissue culture yielded multiple microorganisms including C. parapsilosis.
RESULTS: The patient recovered progressively. She was discharged 2 months later.
CONCLUSIONS: Fungal infection is emerging in this medical era. Vigilance in patient management and as well as considering atypical microorganisms in aetiology may improve patient outcome.

PMID: 28458871 [PubMed - in process]

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