Candida tropicalis cellulitis in a patient with cirrhosis, well-controlled HIV and diabetes
We present the case of a patient with multiple comorbidities, including cirrhosis, poorly controlled diabetes mellitus and HIV infection, who was diagnosed with skin and soft-tissue infection of right lower limb. Outcome was poor after prescribing standard antibiotic therapy, and we finally obtained...
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| Published in: | BMJ case reports Vol. 14; no. 10; p. e241539 |
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| Format: | Journal Article |
| Language: | English |
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| Abstract | We present the case of a patient with multiple comorbidities, including cirrhosis, poorly controlled diabetes mellitus and HIV infection, who was diagnosed with skin and soft-tissue infection of right lower limb. Outcome was poor after prescribing standard antibiotic therapy, and we finally obtained isolation of
in cultures of infected tissue. The patient's condition improved after antifungal treatment was started, and he could be discharged with oral therapy. Here, we report the literature's first case of cellulitis provoked by
in a patient with cirrhosis. |
|---|---|
| AbstractList | We present the case of a patient with multiple comorbidities, including cirrhosis, poorly controlled diabetes mellitus and HIV infection, who was diagnosed with skin and soft-tissue infection of right lower limb. Outcome was poor after prescribing standard antibiotic therapy, and we finally obtained isolation of
in cultures of infected tissue. The patient's condition improved after antifungal treatment was started, and he could be discharged with oral therapy. Here, we report the literature's first case of cellulitis provoked by
in a patient with cirrhosis. We present the case of a patient with multiple comorbidities, including cirrhosis, poorly controlled diabetes mellitus and HIV infection, who was diagnosed with skin and soft-tissue infection of right lower limb. Outcome was poor after prescribing standard antibiotic therapy, and we finally obtained isolation of Candida tropicalis in cultures of infected tissue. The patient’s condition improved after antifungal treatment was started, and he could be discharged with oral therapy. Here, we report the literature’s first case of cellulitis provoked by C. tropicalis in a patient with cirrhosis. We present the case of a patient with multiple comorbidities, including cirrhosis, poorly controlled diabetes mellitus and HIV infection, who was diagnosed with skin and soft-tissue infection of right lower limb. Outcome was poor after prescribing standard antibiotic therapy, and we finally obtained isolation of Candida tropicalis in cultures of infected tissue. The patient’s condition improved after antifungal treatment was started, and he could be discharged with oral therapy. Here, we report the literature’s first case of cellulitis provoked by C. tropicalis in a patient with cirrhosis. |
| Author | Díaz de Santiago, Alberto Martínez Vera, Fernanado Gutiérrez Villanueva, Andrea De la Fuente Moral, Sara |
| AuthorAffiliation | HIV Infection Unit, Internal Medicine Department , Hospital Universitario Puerta de Hierro Majadahonda , Majadahonda , Spain |
| AuthorAffiliation_xml | – name: HIV Infection Unit, Internal Medicine Department , Hospital Universitario Puerta de Hierro Majadahonda , Majadahonda , Spain |
| Author_xml | – sequence: 1 givenname: Andrea surname: Gutiérrez Villanueva fullname: Gutiérrez Villanueva, Andrea organization: HIV Infection Unit, Internal Medicine Department, Hospital Universitario Puerta de Hierro Majadahonda, Majadahonda, Spain – sequence: 2 givenname: Alberto surname: Díaz de Santiago fullname: Díaz de Santiago, Alberto email: ddsalbertorubio@hotmail.com organization: HIV Infection Unit, Internal Medicine Department, Hospital Universitario Puerta de Hierro Majadahonda, Majadahonda, Spain ddsalbertorubio@hotmail.com – sequence: 3 givenname: Fernanado surname: Martínez Vera fullname: Martínez Vera, Fernanado organization: HIV Infection Unit, Internal Medicine Department, Hospital Universitario Puerta de Hierro Majadahonda, Majadahonda, Spain – sequence: 4 givenname: Sara surname: De la Fuente Moral fullname: De la Fuente Moral, Sara organization: HIV Infection Unit, Internal Medicine Department, Hospital Universitario Puerta de Hierro Majadahonda, Majadahonda, Spain |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/34598954$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1128/microbiolspec.DMIH2-0014-2015 10.1097/QCO.0000000000000378 10.7861/clinmedicine.18-2-160 10.1093/cid/ciy576 10.4103/2277-9175.191003 10.7326/0003-4819-91-4-539 10.1093/cid/ciu444 10.1111/j.1574-6976.2011.00278.x 10.1016/j.ad.2018.07.010 10.1038/nrmicro2537 10.3748/wjg.v24.i38.4311 10.1016/j.amjmed.2011.06.028 10.3390/antibiotics8020056 10.3389/fmicb.2016.02173 10.1016/j.idcr.2019.e00691 |
| ContentType | Journal Article |
| Copyright | BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ. 2021 BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ. BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ. 2021 |
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| References | 2024051403265557000_14.10.e241539.8 2024051403265557000_14.10.e241539.7 2024051403265557000_14.10.e241539.17 2024051403265557000_14.10.e241539.5 2024051403265557000_14.10.e241539.4 2024051403265557000_14.10.e241539.13 Moffarah (2024051403265557000_14.10.e241539.2) 2016; 4 2024051403265557000_14.10.e241539.1 2024051403265557000_14.10.e241539.11 Sadeghi (2024051403265557000_14.10.e241539.3) 2019; 11 Burke (2024051403265557000_14.10.e241539.12) 2017; 30 2024051403265557000_14.10.e241539.9 Ortiz-Lazo (2024051403265557000_14.10.e241539.6) 2019; 110 Krishnan (2024051403265557000_14.10.e241539.10) 2020; 19 Raiesi (2024051403265557000_14.10.e241539.15) 2017; 6 Schram (2024051403265557000_14.10.e241539.16) 2014; 93 Righi (2024051403265557000_14.10.e241539.14) 2018; 24 Charitos (2024051403265557000_14.10.e241539.18) 2019; 8 |
| References_xml | – volume: 4 year: 2016 ident: 2024051403265557000_14.10.e241539.2 article-title: Skin and soft tissue infections publication-title: Microbiol Spectr doi: 10.1128/microbiolspec.DMIH2-0014-2015 contributor: fullname: Moffarah – volume: 30 start-page: 354 year: 2017 ident: 2024051403265557000_14.10.e241539.12 article-title: Approach to skin and soft tissue infections in non-HIV immunocompromised hosts publication-title: Curr Opin Infect Dis doi: 10.1097/QCO.0000000000000378 contributor: fullname: Burke – ident: 2024051403265557000_14.10.e241539.5 doi: 10.7861/clinmedicine.18-2-160 – ident: 2024051403265557000_14.10.e241539.7 doi: 10.1093/cid/ciy576 – volume: 6 year: 2017 ident: 2024051403265557000_14.10.e241539.15 article-title: Frequency of cutaneous fungal infections and azole resistance of the isolates in patients with diabetes mellitus publication-title: Adv Biomed Res doi: 10.4103/2277-9175.191003 contributor: fullname: Raiesi – ident: 2024051403265557000_14.10.e241539.8 – ident: 2024051403265557000_14.10.e241539.17 doi: 10.7326/0003-4819-91-4-539 – ident: 2024051403265557000_14.10.e241539.9 doi: 10.1093/cid/ciu444 – ident: 2024051403265557000_14.10.e241539.11 doi: 10.1111/j.1574-6976.2011.00278.x – volume: 93 start-page: 204 year: 2014 ident: 2024051403265557000_14.10.e241539.16 article-title: Primary cutaneous Candida tropicalis infection in a patient with B-cell lymphoma publication-title: Cutis contributor: fullname: Schram – volume: 110 start-page: 124 year: 2019 ident: 2024051403265557000_14.10.e241539.6 article-title: An update on the treatment and management of cellulitis publication-title: Actas Dermosifiliogr doi: 10.1016/j.ad.2018.07.010 contributor: fullname: Ortiz-Lazo – ident: 2024051403265557000_14.10.e241539.1 doi: 10.1038/nrmicro2537 – volume: 24 start-page: 4311 year: 2018 ident: 2024051403265557000_14.10.e241539.14 article-title: Management of bacterial and fungal infections in end stage liver disease and liver transplantation: current options and future directions publication-title: World J Gastroenterol doi: 10.3748/wjg.v24.i38.4311 contributor: fullname: Righi – ident: 2024051403265557000_14.10.e241539.4 doi: 10.1016/j.amjmed.2011.06.028 – volume: 8 start-page: 56 year: 2019 ident: 2024051403265557000_14.10.e241539.18 article-title: Current issues and perspectives in patients with possible sepsis at emergency departments publication-title: Antibiotics doi: 10.3390/antibiotics8020056 contributor: fullname: Charitos – ident: 2024051403265557000_14.10.e241539.13 doi: 10.3389/fmicb.2016.02173 – volume: 19 year: 2020 ident: 2024051403265557000_14.10.e241539.10 article-title: Rapidly progressive necrotizing cellulitis secondary to Candida tropicalis infection in an immunocompromised host publication-title: IDCases doi: 10.1016/j.idcr.2019.e00691 contributor: fullname: Krishnan – volume: 11 start-page: 267 year: 2019 ident: 2024051403265557000_14.10.e241539.3 article-title: Cutaneous candidiasis in Tehran-Iran: from epidemiology to multilocus sequence types, virulence factors and antifungal susceptibility of etiologic Candida species publication-title: Iran J Microbiol contributor: fullname: Sadeghi |
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| SubjectTerms | Antibiotics Antifungal agents Candida tropicalis Case Report Case reports Cellulitis Cellulitis - drug therapy Diabetes Diabetes Mellitus Disease Epidemiology Etiology Fungal infections Hematology HIV HIV Infections - complications HIV Infections - drug therapy Human immunodeficiency virus Humans Liver cirrhosis Liver Cirrhosis - complications Male Microorganisms Middle Aged Organisms Pathogens Patients Skin Transplants & implants Ulcers |
| Title | Candida tropicalis cellulitis in a patient with cirrhosis, well-controlled HIV and diabetes |
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