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Isolation of Candida species is an important clue for suspecting gastrointestinal tract perforation as a cause of empyema.
MedLine Citation:
PMID:  20847498     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
BACKGROUND: Empyema due to Candida species is a rare entity, and the significance of isolation of Candida species from the pleural effusion is not fully understood.
OBJECTIVE: To elucidate the clinical features of Candida empyema.
METHODS: We retrospectively reviewed the cases of 128 patients with culture-positive empyema.
RESULTS: These 128 patients included 7 whose cause of empyema was esophago- or gastropleural fistula. Empyema was due to Candida species in 5 of the 7 patients. Primary diseases of these 5 patients were spontaneous esophageal rupture in 3 patients, esophageal rupture due to lung cancer invasion in 1 patient, and gastric ulcer perforation in 1 patient. None of these 5 patients had esophageal candidiasis. Among the 121 other patients with empyema not due to esophago- or gastropleural fistula, no patient had empyema due to Candida.
CONCLUSION: We believe that the empyema in these 5 patients was caused by normal commensal Candida species entering the pleural cavity when the fistula between the gastrointestinal tract and pleural cavity was formed. Isolation of Candida species can be an important clue for suspecting gastrointestinal tract perforation as a cause of empyema.
Authors:
Takashi Ishiguro; Noboru Takayanagi; Tomohiko Ikeya; Hiroaki Yoshioka; Tsutomu Yanagisawa; Eishin Hoshi; Toshiko Hoshi; Yutaka Sugita; Yoshinori Kawabata
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Publication Detail:
Type:  Journal Article     Date:  2010-09-15
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  49     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2010  
Date Detail:
Created Date:  2010-09-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1957-64     Citation Subset:  IM    
Affiliation:
Department of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center, Kumagaya. ishiguro.takashi@pref.saitama.lg.jp
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