Septic pulmonary embolism caused by Candida albicans after treatment for urinary multidrug-resistant Pseudomonas aeruginosa

Abstract After treatment with antimicrobial chemotherapy for the elimination of urinary multidrug-resistant Pseudomonas aeruginosa (MDRP), a 48-year-old man with recurrence of bladder cancer complained of acute onset of dyspnea, and computed tomography revealed multiple nodular lesions in the lung....

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Bibliographic Details
Published in:Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy 2008-12, Vol.14 (6), p.436-438
Main Authors: Takahashi, Satoshi, Uehara, Teruhisa, Shima, Masaki, Takasugi, Shogo, Hashimoto, Kohei, Itoh, Naoki
Format: Article
Language:English
Subjects:
Anti-Bacterial Agents - therapeutic use
Blood - microbiology
Candida albicans
Candida albicans - isolation & purification
Candidiasis - microbiology
Case Report
Drug resistance
Drug Resistance, Multiple, Bacterial
Fungemia - microbiology
Hematology, Oncology and Palliative Medicine
Humans
Infectious Diseases
Male
Medical Microbiology
Medicine
Medicine & Public Health
Middle Aged
Pseudomonas aeruginosa
Pseudomonas aeruginosa - drug effects
Pseudomonas Infections - drug therapy
Pseudomonas Infections - microbiology
Pulmonary embolism
Pulmonary Embolism - microbiology
Sepsis
Urinary tract infection
Urine - microbiology
Virology
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Summary:Abstract After treatment with antimicrobial chemotherapy for the elimination of urinary multidrug-resistant Pseudomonas aeruginosa (MDRP), a 48-year-old man with recurrence of bladder cancer complained of acute onset of dyspnea, and computed tomography revealed multiple nodular lesions in the lung. Candida albicans was isolated from both urinary and blood samples. He was diagnosed as having a septic pulmonary embolism caused by C. albicans . Fungal septic pulmonary embolism is a rare condition; however, we must be cautious about superinfection as a consequence of strong antimicrobial chemotherapy, and understand that the treatment for urinary MDRP is likely to be difficult.
ISSN:1341-321X
1437-7780
DOI:10.1007/s10156-008-0646-8