Gastroenterología, Hospital Universitario Virgen de Las Nieves, España.
Gastroenterología y Hepatología, Hospital Médico-Quirúrgico Jaén.
Rev Esp Enferm Dig. 2019 Aug;111(8):648. doi: 10.17235/reed.2019.6057/2018.
Lower gastrointestinal tract infection caused by Candida species are rarely reported and, Candida albicans and tropicalis have been the only pathogens identified. We present the first documented case of candida colitis caused by Candida Glabrata in a 56-year-old man with a personal history of morbid obesity and bariatric surgery. The presenting symptoms were diarrhea, rectal bleeding and septic shock. Diagnosis was obtained by histological and microbiological study of the colonoscopy biopsies. Gastroenterologists should be aware of Candida as a cause of colonic infection. Fungal culture is the key to identify specific Candida species and lead to an appropriate antifungal therapy.
由念珠菌属引起的下消化道感染很少报道，以往仅鉴定出白念珠菌和热带念珠菌为病原体。我们报告首例 56 岁肥胖症和减重手术患者的格氏念珠菌结肠炎，该患者临床表现为腹泻、直肠出血和感染性休克。通过结肠镜活检的组织学和微生物学研究做出诊断。胃肠病学家应该意识到念珠菌是结肠感染的一个原因。真菌培养是确定特定念珠菌属和进行适当抗真菌治疗的关键。
