Ballal Mamatha, Chakraborty Rituparna, Bhandary Siddhartha, Kumar P Sampath
Department of Clinical Microbiology & Immunology, KMC International Center, Manipal University, Manipal, India.
Department of General Surgery, Kasturba Hospital, Manipal, India.
Med Mycol Case Rep. 2013 Mar 13;2:95-7. doi: 10.1016/j.mmcr.2013.02.007.
Biliary candidiasis is increasing in the hospitalized immunosuppressed individuals. Placement of biliary stents in the cancer patients with obstructive jaundice has been found to be an important factor associated with infectious complications. Positive fungal cultures from bile should not be ignored as mere contamination but should be considered when prescribing treatment for the immunosuppressed with recurrent cholangitis or receiving long-term antibiotic therapy. Here,we report a case of cholangiocarcinoma with cholangitis where Candida tropicalis was the sole pathogen isolated from bile. This is probably the first case of its kind to be reported from Manipal, Karnataka, South India.
在住院的免疫抑制个体中,胆念珠菌病的发病率正在上升。在患有阻塞性黄疸的癌症患者中放置胆管支架已被发现是与感染并发症相关的一个重要因素。胆汁真菌培养呈阳性不应仅仅被视为污染而被忽视,在为患有复发性胆管炎的免疫抑制患者或接受长期抗生素治疗的患者开处治疗方案时应予以考虑。在此,我们报告一例胆管炎合并胆管癌病例,其中热带念珠菌是从胆汁中分离出的唯一病原体。这可能是印度南部卡纳塔克邦马尼帕尔首次报告的此类病例。