APHP, Hôpital St Antoine, Laboratoire de Parasitologie-Mycologie, Paris, France.
Med Mycol. 2010 Mar;48(2):402-5. doi: 10.3109/13693780903176503.
We report the case of an immunocompetent woman who developed a Candida glabrata abscess of the parotid gland and present a review of similar cases from the literature. Diagnosis was based on the isolation of C. glabrata in pure culture from the abscess pus. Examination of stained smears of the same material demonstrated small sized yeast cells, some being intra-macrophagic. Combination of a local drainage and oral fluconazole proved to be an efficient therapeutic strategy. Candidal abscesses are rare in immunocompetent patients and salivary gland localization has only been reported in five cases.
我们报告了一例免疫功能正常的女性发生的腮腺假丝酵母菌脓肿,并对文献中的类似病例进行了回顾。诊断基于从脓肿脓液中纯培养分离出光滑假丝酵母菌。对同一材料的染色涂片检查显示出小型酵母细胞,其中一些存在于巨噬细胞内。局部引流和口服氟康唑联合治疗被证明是一种有效的治疗策略。免疫功能正常的患者中假丝酵母菌脓肿较为罕见,且唾液腺定位仅在五例中报道过。