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Journal of the Korean Geriatrics Society 2006;10(3):206-209.
Published online September 30, 2006.
A Cases of Primary Lung Abscess Due to Candida albicans in Malnourished Patient
Suk Ho Shin, Su Hyun Kim, Jae Ki Koh, Kwan Sun Chun, Ji Min Oh, Jin Ho Choi, Sook Hee Song
Department of Internal Medicine, Seoul Medical Center, Seoul, Korea. shinshukho@hanmail.net
Candida albicans as being ubiquitous human commensals produce a broad range infections depending on host immunity and its virulency, ranging from usually local mucous membrane infection to disseminated fatal candidiasis with multisystem organ failure. Recently, candidiasis of deep organ are an increasingly important nosocomial infection. Candida lung abscess is rare relatively. Most commonly, it has been stated that they are found accompanied by hematogenously disseminated candidiasis particularly in immuno- suppressed patient. Primary lung abscess caused by C. albicans has been reported in less then 15 case in worldwide, and therapeutic guideline is poorly defined. We experienced a case of a primary lung abscess by C. albicans which may developed after aspiration of oropharyngeal contents as the mechanism of entry in a malnourished elderly patient and which was treated successfully with drainage of the abscess following by administration of fluconazole for 4 weeks. Herein we report the case with a review of the literature.
Key Words: Candida albicans, Lung abscess, Malnutrition
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