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A case report of infant with gastric perforation caused by Candida albicans infection
1Department of Pediatric Surgery, Maternal and Child Health Care Hospital affiliated to Nantong University, Nantong, Jiangsu, China.
Insights
A rare case of spontaneous gastric perforation in an infant was caused by Candida albicans infection. Early detection and treatment of this fungal infection are crucial for reducing mortality in infants with gastric perforation.
Area of Science:
- Pediatric Surgery
- Infectious Diseases
- Gastroenterology
Background:
- Spontaneous gastric perforation is a rare condition in young children.
- Gastric perforation attributed to Candida albicans infection is exceptionally uncommon.
Rationale:
Spontaneous gastric perforation in young children is rare, and gastric perforation caused by Candida albicans infection is even rarer.
Patient Concerns:
A 4-month-old infant presented with frequent retching. The results of X-rays showed obvious pneumoperitoneum but gastric vacuole was not seen.
Diagnosis:
The infant was diagnosed as spontaneous gastric perforation caused by C albicans infection based on blood culture, peritoneal fluid culture, and postoperative histopathology.
Interventions:
An emergency exploratory laparotomy was performed and a gastric perforation repair was done. The infant received antishock, antiinfection, and intravenous nutrition treatment.
Outcomes:
After operation and antiinfective symptomatic treatment, the infant recovered.
Lessons:
This case emphasized the rare C albicans infection as a cause of the gastric perforation in infant. The C albicans infection should always be thought of as an etiology for the gastric perforation in infant, to reduce the significant mortality. The early detection is necessary to treat Candida infections.
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