Institute of Liver Studies, King's College Hospital, London, UK.
Mycoses. 2011 Dec;54 Suppl 4:4-7. doi: 10.1111/j.1439-0507.2011.02135.x.
The following case report describes a patient with acute liver failure who presented in multiple organ failure and required emergency liver transplantation. A complicated postoperative course lead to sepsis which did not respond to conventional anti bacterial therapy. Despite antifungal prophylaxis with an azole invasive candidiasis was diagnosed and the patient was successfully treated with anidulafungin. The difficulties in diagnosis and treatment of invasive fungal infections in this population are highlighted.
以下病例报告描述了一位急性肝功能衰竭患者,该患者表现为多器官功能衰竭,需要紧急进行肝移植。复杂的术后病程导致脓毒症,常规抗细菌治疗无效。尽管进行了唑类药物预防真菌感染,但仍诊断为侵袭性念珠菌病,患者使用安尼卡宾成功治疗。本文强调了此类人群中侵袭性真菌感染的诊断和治疗困难。