Scheele Jan, Kujath Peter
Mycoses. 2006 Jul;49(4):340-2. doi: 10.1111/j.1439-0507.2006.01246.x.
An 80-year-old patient in previously excellent state of health presented with septic syndrome for gangrenous cholecystitis and concomitant pancreatitis. Diagnostic paracentesis revealed microbiological evidence of Candida albicans in the abdominal cavity. Laparoscopic cholecystectomy was performed and examination of histological specimens confirmed peritonitis by fungal perforation of the gall bladder. In a complicated postoperative course the patient was finally cured choosing voriconazole (Vfend) for antimycotic therapy.
一名80岁、此前健康状况极佳的患者因坏疽性胆囊炎和并发胰腺炎出现脓毒症综合征。诊断性腹腔穿刺术显示腹腔内有白色念珠菌的微生物学证据。实施了腹腔镜胆囊切除术，组织学标本检查证实胆囊炎是由胆囊真菌穿孔所致。在复杂的术后过程中，最终选择伏立康唑（威凡）进行抗真菌治疗，患者得以治愈。
