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Published on: January 27, 2015
Candida colonisation within a silicone tissue expander
1Department of Plastic Surgery, Kirikkale University Medical School, Turkey.
Abstract:
The fungal contamination of tissue expanders is rarely reported. There are, however, occasional reports of fungi in association with inflatable mammary implants. We describe the colonisation of a tissue expander with Candida albicans, resulting in the fluid becoming a turbid brown colour. The possible modes of inoculation and survival of the microorganism within the expander shell were investigated by means of biochemical and microbiological analyses of the fluid. The colonisation of silicone implants by opportunistic fungi is probably more common than has been reported, and precautions that can be taken to avoid this complication are emphasised.
Insights
Fungal contamination of tissue expanders, though rare, can occur. Candida albicans can colonize expanders, causing fluid discoloration and necessitating preventative measures.
Area of Science:
- Medical Microbiology
- Biomaterials Science
- Infectious Diseases
Background:
- Fungal contamination of medical devices like tissue expanders is infrequently documented.
- Previous reports indicate fungi associated with inflatable mammary implants.
Observation:
- A case of tissue expander colonization by Candida albicans is described.
- The infected expander fluid exhibited a turbid brown discoloration.
Findings:
- Biochemical and microbiological analyses investigated potential inoculation routes and fungal survival within the expander.
- Candida albicans was identified as the causative agent of the contamination.
Implications:
- Opportunistic fungal colonization of silicone implants may be more prevalent than currently reported.
- Emphasizes the need for enhanced precautions to prevent such complications during medical procedures.
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