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Volume 46, Number 5, October 2013

Candida lipolytica candidemia as a rare infectious complication of acute pancreatitis: A case report and literature review 


Wen-Cheng Liu, Ming-Chin Chan, Te-Yu Lin, Chin-Hui Hsu, Sheng-Kang Chiu


Received: March 23, 2013    Revised: April 3, 2013    Accepted: April 23, 2013   

 

Corresponding author:

Corresponding author. Division of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, National Defense Medical
Center, Tri-Service General Hospital, Number 325, Section 2, Cheng-Kung Road, Neihu 114, Taipei, Taiwan, ROC.
E-mail address: csk33kimo@hotmail.com (S.-K. Chiu). 



 

Background and purpose: 

Candida lipolytica candidemia is a rare but an emerging pathogenic yeast infection in humans. It can gain access to the bloodstream through intravascular catheterization, especially through central venous catheters in immunocompromised or critically ill patients during hospitalization. In this report, we present a noncatheter-related C. lipolytica candidemia infection in an 84-year-old man who was admitted due to acute pancreatitis. The possible pathogenesis and management of C. lipolytica candidemia are highlighted. It was an unusual infectious complication of acute pancreatitis. Clinicians should be aware that such an opportunistic pathogen can lead to invasive candidemia infection. In clinical practice, systemic antifungal therapy and the removal of the potentially infected central venous catheter might be recommended for the treatment of C. lipolytica candidemia. 



 

Key words:

Acute pancreatitis, Candida lipolytica, Candidemia