Severe pneumonia due to infection with Candida krusei in a case of suspected Middle East respiratory syndrome: A case report and literature review.
Identifieur interne : 001918 ( Ncbi/Merge ); précédent : 001917; suivant : 001919Severe pneumonia due to infection with Candida krusei in a case of suspected Middle East respiratory syndrome: A case report and literature review.
Auteurs : Mingming Tan [République populaire de Chine] ; Junwei Wang [République populaire de Chine] ; Peiyang Hu [République populaire de Chine] ; Bin Wang [République populaire de Chine] ; Wanghua Xu [République populaire de Chine] ; Jiao Chen [République populaire de Chine]Source :
- Experimental and therapeutic medicine [ 1792-0981 ] ; 2016.
Abstract
Candida krusei (C. krusei) pneumonia is a rare infection that is frequently associated with a poor outcome. The present study reports an unusual case of C. krusei pneumonia that was initially suspected to be a Middle East respiratory syndrome (MERS) case. A 64-year-old Saudi Arabian male patient was admitted to our hospital with complaints of cough and dyspnea that persisted for 6 days. The patient presented fever (oral temperature, 38.5°C) and slight tachypnea (25 respirations/min). A chest computerized tomography demonstrated unclear lung fields, diffuse pathological changes in the two lungs and multiple lymphadenectasis in the retrocaval and para-aortic arch area. The patient received 95-98% oxygen (6 l/min) for 24 h, as well as sulbactam sodium/cefoperazone sodium (1:1) injection (3.0 g) every 12 h, oral oseltamivir capsules (75 mg/time) twice a day, medaron injection (80 mg/time) and 750 ml fluid infusion; however, he succumbed to the disease on day 2 after admission. The infection was diagnosed by sputum smear and culture subsequent to patient mortality. A sputum smear showed a large fungal infection and sputum culture revealed the presence of C. krusei infection. Serum procalcitonin concentrations were 4.73 µg/l and 7.23 µg/l on days 2 and 3 after admission, respectively. In conclusion, the diagnosis of Candida pneumonia should be strongly considered in the presence of growth of Candida from a sputum culture and based on a suggestive computed tomography image. Tumescent diaphragmatic lymph nodes may also be an important symptom of Candida pneumonia. Treatment should be initiated immediately to improve tissue oxygenation, restore cardiovascular function and improve other organ functions.
DOI: 10.3892/etm.2016.3892
PubMed: 28101187
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China.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Emergency Department, Tiantai County People's Hospital, Taizhou, Zhejiang 317200</wicri:regionArea><wicri:noRegion>Zhejiang 317200</wicri:noRegion></affiliation></author><author><name sortKey="Wang, Junwei" sort="Wang, Junwei" uniqKey="Wang J" first="Junwei" last="Wang">Junwei Wang</name><affiliation wicri:level="1"><nlm:affiliation>Emergency Department, Tiantai County People's Hospital, Taizhou, Zhejiang 317200, P.R. China.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Emergency Department, Tiantai County People's Hospital, Taizhou, Zhejiang 317200</wicri:regionArea><wicri:noRegion>Zhejiang 317200</wicri:noRegion></affiliation></author><author><name sortKey="Hu, Peiyang" sort="Hu, Peiyang" uniqKey="Hu P" first="Peiyang" last="Hu">Peiyang Hu</name><affiliation wicri:level="1"><nlm:affiliation>Emergency Department, Tiantai County People's Hospital, Taizhou, Zhejiang 317200, P.R. China.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Emergency Department, Tiantai County People's Hospital, Taizhou, Zhejiang 317200</wicri:regionArea><wicri:noRegion>Zhejiang 317200</wicri:noRegion></affiliation></author><author><name sortKey="Wang, Bin" sort="Wang, Bin" uniqKey="Wang B" first="Bin" last="Wang">Bin Wang</name><affiliation wicri:level="1"><nlm:affiliation>Emergency Department, Tiantai County People's Hospital, Taizhou, Zhejiang 317200, P.R. China.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Emergency Department, Tiantai County People's Hospital, Taizhou, Zhejiang 317200</wicri:regionArea><wicri:noRegion>Zhejiang 317200</wicri:noRegion></affiliation></author><author><name sortKey="Xu, Wanghua" sort="Xu, Wanghua" uniqKey="Xu W" first="Wanghua" last="Xu">Wanghua Xu</name><affiliation wicri:level="1"><nlm:affiliation>Emergency Department, Tiantai County People's Hospital, Taizhou, Zhejiang 317200, P.R. China.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Emergency Department, Tiantai County People's Hospital, Taizhou, Zhejiang 317200</wicri:regionArea><wicri:noRegion>Zhejiang 317200</wicri:noRegion></affiliation></author><author><name sortKey="Chen, Jiao" sort="Chen, Jiao" uniqKey="Chen J" first="Jiao" last="Chen">Jiao Chen</name><affiliation wicri:level="1"><nlm:affiliation>Emergency Department, Tiantai County People's Hospital, Taizhou, Zhejiang 317200, P.R. China.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Emergency Department, Tiantai County People's Hospital, Taizhou, Zhejiang 317200</wicri:regionArea><wicri:noRegion>Zhejiang 317200</wicri:noRegion></affiliation></author></analytic><series><title level="j">Experimental and therapeutic medicine</title><idno type="ISSN">1792-0981</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><i>Candida krusei</i> (<i>C. krusei</i>) pneumonia is a rare infection that is frequently associated with a poor outcome. The present study reports an unusual case of <i>C. krusei</i> pneumonia that was initially suspected to be a Middle East respiratory syndrome (MERS) case. A 64-year-old Saudi Arabian male patient was admitted to our hospital with complaints of cough and dyspnea that persisted for 6 days. The patient presented fever (oral temperature, 38.5°C) and slight tachypnea (25 respirations/min). A chest computerized tomography demonstrated unclear lung fields, diffuse pathological changes in the two lungs and multiple lymphadenectasis in the retrocaval and para-aortic arch area. The patient received 95-98% oxygen (6 l/min) for 24 h, as well as sulbactam sodium/cefoperazone sodium (1:1) injection (3.0 g) every 12 h, oral oseltamivir capsules (75 mg/time) twice a day, medaron injection (80 mg/time) and 750 ml fluid infusion; however, he succumbed to the disease on day 2 after admission. The infection was diagnosed by sputum smear and culture subsequent to patient mortality. A sputum smear showed a large fungal infection and sputum culture revealed the presence of <i>C. krusei</i> infection. Serum procalcitonin concentrations were 4.73 µg/l and 7.23 µg/l on days 2 and 3 after admission, respectively. In conclusion, the diagnosis of <i>Candida</i> pneumonia should be strongly considered in the presence of growth of <i>Candida</i> from a sputum culture and based on a suggestive computed tomography image. Tumescent diaphragmatic lymph nodes may also be an important symptom of <i>Candida</i> pneumonia. Treatment should be initiated immediately to improve tissue oxygenation, restore cardiovascular function and improve other organ functions.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">28101187</PMID><DateRevised><Year>2019</Year><Month>11</Month><Day>20</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">1792-0981</ISSN><JournalIssue CitedMedium="Print"><Volume>12</Volume><Issue>6</Issue><PubDate><Year>2016</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Experimental and therapeutic medicine</Title><ISOAbbreviation>Exp Ther Med</ISOAbbreviation></Journal><ArticleTitle>Severe pneumonia due to infection with <i>Candida krusei</i> in a case of suspected Middle East respiratory syndrome: A case report and literature review.</ArticleTitle><Pagination><MedlinePgn>4085-4088</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3892/etm.2016.3892</ELocationID><Abstract><AbstractText><i>Candida krusei</i> (<i>C. krusei</i>) pneumonia is a rare infection that is frequently associated with a poor outcome. The present study reports an unusual case of <i>C. krusei</i> pneumonia that was initially suspected to be a Middle East respiratory syndrome (MERS) case. A 64-year-old Saudi Arabian male patient was admitted to our hospital with complaints of cough and dyspnea that persisted for 6 days. The patient presented fever (oral temperature, 38.5°C) and slight tachypnea (25 respirations/min). A chest computerized tomography demonstrated unclear lung fields, diffuse pathological changes in the two lungs and multiple lymphadenectasis in the retrocaval and para-aortic arch area. The patient received 95-98% oxygen (6 l/min) for 24 h, as well as sulbactam sodium/cefoperazone sodium (1:1) injection (3.0 g) every 12 h, oral oseltamivir capsules (75 mg/time) twice a day, medaron injection (80 mg/time) and 750 ml fluid infusion; however, he succumbed to the disease on day 2 after admission. The infection was diagnosed by sputum smear and culture subsequent to patient mortality. A sputum smear showed a large fungal infection and sputum culture revealed the presence of <i>C. krusei</i> infection. Serum procalcitonin concentrations were 4.73 µg/l and 7.23 µg/l on days 2 and 3 after admission, respectively. In conclusion, the diagnosis of <i>Candida</i> pneumonia should be strongly considered in the presence of growth of <i>Candida</i> from a sputum culture and based on a suggestive computed tomography image. Tumescent diaphragmatic lymph nodes may also be an important symptom of <i>Candida</i> pneumonia. Treatment should be initiated immediately to improve tissue oxygenation, restore cardiovascular function and improve other organ functions.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Tan</LastName><ForeName>Mingming</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Emergency Department, Tiantai County People's Hospital, Taizhou, Zhejiang 317200, P.R. China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wang</LastName><ForeName>Junwei</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Emergency Department, Tiantai County People's Hospital, Taizhou, Zhejiang 317200, P.R. China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hu</LastName><ForeName>Peiyang</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Emergency Department, Tiantai County People's Hospital, Taizhou, Zhejiang 317200, P.R. China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wang</LastName><ForeName>Bin</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Emergency Department, Tiantai County People's Hospital, Taizhou, Zhejiang 317200, P.R. China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Xu</LastName><ForeName>Wanghua</ForeName><Initials>W</Initials><AffiliationInfo><Affiliation>Emergency Department, Tiantai County People's Hospital, Taizhou, Zhejiang 317200, P.R. China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chen</LastName><ForeName>Jiao</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Emergency Department, Tiantai County People's Hospital, Taizhou, Zhejiang 317200, P.R. China.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>11</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>Greece</Country><MedlineTA>Exp Ther Med</MedlineTA><NlmUniqueID>101531947</NlmUniqueID><ISSNLinking>1792-0981</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Candida krusei</Keyword><Keyword MajorTopicYN="N">Candida pneumonia</Keyword><Keyword MajorTopicYN="N">PCT</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>04</Month><Day>30</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>05</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>1</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>1</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>1</Month><Day>20</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28101187</ArticleId><ArticleId IdType="doi">10.3892/etm.2016.3892</ArticleId><ArticleId IdType="pii">ETM-0-0-3892</ArticleId><ArticleId IdType="pmc">PMC5228306</ArticleId></ArticleIdList><pmc-dir>pmcsd</pmc-dir>
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