Candida albicans blastoconidia in peripheral blood smears from non-neutropenic surgical patients

An 80 year old woman developed fever 11 days after volvulus surgery. A peripheral blood smear showed numerous yeast cells--both extraleucocytic and intraleucocytic--as well as leucoagglutination. The fungal elements included blastospores, pseudohyphae, and germ tubes. Two days later, blood cultures...

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Bibliographic Details
Published in:Journal of clinical pathology 1998-07, Vol.51 (7), p.537-538
Main Authors: Berrouane, Y, Bisiau, H, Le Baron, F, Cattoen, C, Duthilleul, P, Dei Cas, E
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Biological and medical sciences
Candida albicans - isolation & purification
Candidiasis - diagnosis
Enterobacter - isolation & purification
Female
Human mycoses
Humans
Infectious diseases
Intestinal Obstruction - surgery
Medical sciences
Mycoses
Mycotic sepsis
Postoperative Complications - microbiology
Staphylococcus aureus - isolation & purification
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Summary:An 80 year old woman developed fever 11 days after volvulus surgery. A peripheral blood smear showed numerous yeast cells--both extraleucocytic and intraleucocytic--as well as leucoagglutination. The fungal elements included blastospores, pseudohyphae, and germ tubes. Two days later, blood cultures yielded Candida albicans, Enterobacter aerogenes, and Staphlococcus aureus. The patient had no medical history of immunodeficiency. Several reports indicate that fungal elements may be detected in peripheral blood smears from patients who have a severe intestinal disease.
ISSN:0021-9746
1472-4146
DOI:10.1136/jcp.51.7.537