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复发性外阴阴道炎患者行机器人全腹腔镜子宫切除术和双侧输卵管卵巢切除术后发生光滑念珠菌血症:一例报告

Candida glabrata Fungemia Following Robotic Total Laparoscopic Hysterectomy and Bilateral Salpingo-oophorectomy in a Patient with Recurrent Vulvovaginitis: A Case Report.

作者信息

Mikdachi Hana F, Spann Emily

机构信息

Obstetrics and Gynecology, East Tennessee State University, Johnson City, USA.

出版信息

Cureus. 2019 Mar 30;11(3):e4349. doi: 10.7759/cureus.4349.

Abstract

Vulvovaginal candidiasis is a common gynecologic diagnosis that can be treated empirically with fluconazole. We present a patient that developed post-operative () fungemia after being empirically treated for vulvuovaginal candidiasis with fluconazole multiple times throughout the year prior to robotic total laparoscopic hysterectomy and bilateral salpingo-oophorectomy. is becoming increasingly resistant to azole antimycotic therapy. It is likely that this patient had undertreated fluconazole-resistant vulvovaginitis prior to surgery, and that the pelvic infection was the source of fungemia.

摘要

外阴阴道念珠菌病是一种常见的妇科诊断疾病,可用氟康唑进行经验性治疗。我们报告一例患者,在机器人全腹腔镜子宫切除术和双侧输卵管卵巢切除术之前的一年中,多次接受氟康唑经验性治疗外阴阴道念珠菌病后,术后发生了()真菌血症。(该病菌)对唑类抗真菌治疗的耐药性越来越强。很可能该患者在手术前就存在未得到充分治疗的耐氟康唑外阴阴道炎,盆腔感染是真菌血症的来源。

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Invasive candidiasis.侵袭性念珠菌病。
Nat Rev Dis Primers. 2018 May 11;4:18026. doi: 10.1038/nrdp.2018.26.

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