El Helou Guy, Palavecino Elizabeth
Infectious Disease, Wake Forest Baptist Medical Center.
Clinical Pathology, Wake Forest Baptist Medical Center.
Cureus. 2017 May 29;9(5):e1283. doi: 10.7759/cureus.1283.
is a yeast that has been previously isolated in various human specimens. The first reported isolation was from human feces in 1998, with subsequent reports of positive cultures from the oral cavity where it was thought to represent colonization rather than true infection. Though it has been isolated from other human sites, its clinical significance and manifestations are poorly characterized. We report the case of a 39-year-old woman on parenteral hyperalimentation who developed post abdominal surgery sepsis and surgical wound necrotizing fasciitis. was isolated from two different blood cultures and the patient's clinical status improved after initiation of therapy with micafungin. Though it was not clear whether sepsis was driven by the candidemia or the necrotizing fasciitis or both, this report appears to be the first case of bloodstream infection described in an adult.
是一种先前已在各种人体标本中分离出来的酵母。首次报告的分离是在1998年从人类粪便中分离出来的，随后有报告称在口腔中培养呈阳性，当时认为这代表定植而非真正的感染。尽管它已从其他人体部位分离出来，但其临床意义和表现仍未得到充分描述。我们报告了一例39岁接受肠外高营养的女性病例，该患者在腹部手术后发生败血症和手术伤口坏死性筋膜炎。从两种不同的血培养物中分离出了（该酵母），在用米卡芬净治疗后患者的临床状况有所改善。尽管尚不清楚败血症是由念珠菌血症还是坏死性筋膜炎或两者共同引起的，但本报告似乎是首例描述的成人血流感染病例。
