A case report of infant with gastric perforation caused by Candida albicans infection.

RATIONALE

Spontaneous gastric perforation in young children is rare, and gastric perforation caused by Candida albicans infection is even rarer.

PATIENT CONCERNS

A 4-month-old infant presented with frequent retching. The results of X-rays showed obvious pneumoperitoneum but gastric vacuole was not seen.

DIAGNOSIS

The infant was diagnosed as spontaneous gastric perforation caused by C albicans infection based on blood culture, peritoneal fluid culture, and postoperative histopathology.

INTERVENTIONS

An emergency exploratory laparotomy was performed and a gastric perforation repair was done. The infant received antishock, antiinfection, and intravenous nutrition treatment.

OUTCOMES

After operation and antiinfective symptomatic treatment, the infant recovered.

LESSONS

This case emphasized the rare C albicans infection as a cause of the gastric perforation in infant. The C albicans infection should always be thought of as an etiology for the gastric perforation in infant, to reduce the significant mortality. The early detection is necessary to treat Candida infections.