A rare case of pancreatic abscess due to Candida Tropicalis

Abstract

Candida albicans is found frequently as a commensal organism in the gastrointestinal tract. Despite this, it is rarely found in pancreatic abscesses, there being only a few cases in the literature and in most of these cases the significance of Candida spp. as a pathogen was not initially recognized at the time of diagnosis. In most of the earlier reported pancreatitis associated with candida, C. albicans was the commonest isolate. We report the case of a patient in whom computed tomography was used initially to diagnose a pancreatic abscess, aspiration of which showed growth of Candida tropicalis and Escherichia coli on culture. The patient was started on amphotericin B and imipenem, but the condition of the patient deteriorated, for which the patient underwent surgical necrosectomy and continued treatment with imipenem and amphotericin B led to the satisfactory recovery of the patient.

Candida and Enterobacter co-infection in a case of periampullary carcinoma with obstructive jaundice

“…Furthermore, the role of biliary duodenopancreatic reflux is also discussed. 3 Finally, the haematogenous spread of fungi to pancreatic tissue in immunocompromised patients is also probable. 7 However, almost all of the reported cases of Candida species infection are proved to have developed after a pancreas injury.…”

“…as comorbidities. 2 In addition, abdominal surgical intervention is a known risk factor for Candida infections, 3 and can obviously uphold and provoke symptoms years after the operation. Here we report a case of pancreatic carcinoma with culture showing growth of Candida albicans and Enterobacter species.…”

Rapidly growing mass in the pancreas: intraductal Candida infection in a chronic recurrent pancreatitis

“…In rare cases Candida spp. can be cultured from the necrotic tissue in patients suffering from severe necrotising pancreatitis [1][2][3][4][5][6] , but fungal infections usually form only part of a polymicrobial infection and should be regarded as fungal superinfection (as detected in up to 40% of the cases) [3,5,7] . The most frequently isolated Candida spp.…”

“…The most frequently isolated Candida spp. is Candida albicans, which is closely followed by Candida tropicalis, Candida glabrata and Candida krusei [1][2][3] . Candida glabrata and C. krusei occur more frequently in comorbid patients (elderly, transplanted and neutropenic patients or neonates) [8,9] .…”

“…Candida glabrata and C. krusei occur more frequently in comorbid patients (elderly, transplanted and neutropenic patients or neonates) [8,9] . In addition, abdominal surgical intervention is a known risk factor for Candida infections [1] , and can obviously uphold and provoke symptoms years after the operation. In this context only one case has been reported so far in literature describing a case with intraluminal Candidiasis in the pancreatic ducts [10] .…”