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A Rare Case of Pancreatic Abscess due to Candida Tropicalis
Simit Kumar1, Manas Kumar Bandyopadhyay, Kumkum Bhattacharyya
1Department of Microbiology, R.G. Kar Medical College and Hospital, Kolkata, India.
Abstract:
Candida albicans is found frequently as a commensal organism in the gastrointestinal tract. Despite this, it is rarely found in pancreatic abscesses, there being only a few cases in the literature and in most of these cases the significance of Candida spp. as a pathogen was not initially recognized at the time of diagnosis. In most of the earlier reported pancreatitis associated with candida, C. albicans was the commonest isolate. We report the case of a patient in whom computed tomography was used initially to diagnose a pancreatic abscess, aspiration of which showed growth of Candida tropicalis and Escherichia coli on culture. The patient was started on amphotericin B and imipenem, but the condition of the patient deteriorated, for which the patient underwent surgical necrosectomy and continued treatment with imipenem and amphotericin B led to the satisfactory recovery of the patient.
Insights
Candida tropicalis rarely causes pancreatic abscesses. This case highlights the importance of identifying Candida species in pancreatic infections and the successful treatment involving antifungal medication and surgical intervention.
Area of Science:
- Medical Mycology
- Gastroenterology
- Infectious Diseases
Background:
- Candida albicans is a common gut commensal but rarely causes pancreatic abscesses.
- Previous cases of Candida-associated pancreatitis often involved C. albicans, with its pathogenic role sometimes overlooked.
- Pancreatic abscesses are uncommon, and fungal involvement is even rarer.
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