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J Korean Med Sci.  2008 Dec;23(6):1094-1096. 10.3346/jkms.2008.23.6.1094.

Fatal Peripheral Candidal Suppurative Thrombophlebitis in a Postoperative Patient

Affiliations
  • 1Department of Surgery, Ulsan University, College of Medicine, Asan Medical Center, Seoul, Korea.
  • 2Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. hckim@skku.edu

Abstract

We report a case of fatal fungal peripheral suppurative thrombophlebitis, caused by Candida albicans, which was disseminated to the blood, lungs, eyes, and spine. Clinical suspicion and aggressive management are important in managing fungal peripheral suppurative thrombophlebitis. Early clinical suspicion is important in managing fungal peripheral suppurative thrombophlebitis, and radical excision of the affected veins, recognition of metastatic foci, and use of systemic antifungal agents are essential to avoid septic shock and death.

Keyword

Candidemia; Shock, Septic; Thrombophlebitis

MeSH Terms

Amphotericin B/therapeutic use
Anti-Bacterial Agents/therapeutic use
Candida albicans
Candidiasis/blood/*diagnosis/surgery
Echocardiography
Fatal Outcome
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Postoperative Complications/diagnosis/*microbiology
Rectal Neoplasms/diagnosis/surgery
Thrombophlebitis/*diagnosis/microbiology
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