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06:02
Posterior Approach for Debridement of the Psoas Abscess
Published on: March 2, 2020
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Psoas Abscess Caused by Candida Glabrata: A Case Report
Sandhya Nagarakanti1, Eliahu Bishburg1
1Internal Medicine/Infectious Disease, Newark Beth Israel Medical Center, Newark, USA.
Cureus
|October 30, 2020
Summary
Psoas abscesses from Candida are rare. This case highlights successful treatment of a Candida glabrata psoas abscess using drainage and oral voriconazole, emphasizing early diagnosis and intervention.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Surgical Infections
Background:
- Psoas abscesses are uncommon infections, often presenting with vague symptoms.
- Involvement of Candida species in psoas abscesses is particularly rare.
- Candida glabrata is an opportunistic fungal pathogen.
Observation:
- A case of psoas abscess caused by Candida glabrata is presented.
- The patient's clinical presentation was nonspecific, posing a diagnostic challenge.
- The abscess was successfully treated with surgical drainage and oral antifungal therapy.
Findings:
- Complete resolution of the Candida glabrata psoas abscess was achieved.
- Oral voriconazole proved effective as an antifungal agent.
- Prompt diagnosis and intervention are crucial for favorable outcomes.
Implications:
- This case expands the understanding of rare fungal infections in deep-seated abscesses.
- It underscores the importance of considering fungal etiologies in challenging psoas abscess cases.
- Early diagnosis, drainage, and targeted antifungal therapy (like voriconazole) are key to successful management of Candida psoas abscesses.
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