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Santana S, Salci T, Andriato P, Bonfim-Mendonça P, Caparroz-Assef S, Negri M, Svidzinski T. Diagnosis and management of a fatal case of sepsis caused by Candida parapsilosis sensu stricto in a neonate with omphalocele. Med Mycol Case Rep 2018; 20:10-14. [PMID: 29348997 PMCID: PMC5768148 DOI: 10.1016/j.mmcr.2018.01.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2017] [Revised: 12/20/2017] [Accepted: 01/09/2018] [Indexed: 11/02/2022] Open
Abstract
We present a fatal case of persistent neonatal candidemia by Candida parapsilosis following omphalocele, without other anomalies. Despite an encouraging initial prognosis, after surgical correction and closure of the abdominal wall the case became difficult to treat, as in addition to the exposure of the patient to multiple risk factors for candidemia, antifungal therapy apparently was not adequate.
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Affiliation(s)
- Simone Santana
- Medical Mycology Division, State University of Maringá, Av. Colombo, 5790, CEP 87020-900 Maringá, Paraná, Brazil
| | - Tania Salci
- Department of Pharmacology, State University of Maringá, Av. Colombo, 5790, CEP 87020-900 Maringá, Paraná, Brazil
| | - Patricia Andriato
- Department of Pharmacology, State University of Maringá, Av. Colombo, 5790, CEP 87020-900 Maringá, Paraná, Brazil
| | - Patricia Bonfim-Mendonça
- Medical Mycology Division, State University of Maringá, Av. Colombo, 5790, CEP 87020-900 Maringá, Paraná, Brazil
| | - Silvana Caparroz-Assef
- Department of Pharmacology, State University of Maringá, Av. Colombo, 5790, CEP 87020-900 Maringá, Paraná, Brazil
| | - Melyssa Negri
- Medical Mycology Division, State University of Maringá, Av. Colombo, 5790, CEP 87020-900 Maringá, Paraná, Brazil
| | - Terezinha Svidzinski
- Medical Mycology Division, State University of Maringá, Av. Colombo, 5790, CEP 87020-900 Maringá, Paraná, Brazil
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