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Postoperative Candida Infection following Complex Periocular Reconstruction.

Luke S Wallis¹, Carolyn M Stull¹, Uros Rakita²

¹Division of Dermatology, Rush University Medical Center, Chicago, Ill.

Plastic and Reconstructive Surgery. Global Open

|November 8, 2021

Summary

Postoperative Candida infection, a rare complication in skin surgery, occurred in an immunocompromised patient after complex eyelid reconstruction. Prompt antifungal treatment led to successful healing, highlighting the importance of early recognition.

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Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction

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Published on: October 13, 2017

Area of Science:

Dermatology
Infectious Diseases
Surgical Oncology

Background:

Postoperative Candida infection is an uncommon complication following cutaneous surgery.
Immunocompromised status and extensive reconstructive procedures may increase risk.
Prophylactic antibiotics can sometimes alter the microbial balance, potentially leading to opportunistic infections.

Observation:

A 59-year-old human immunodeficiency virus (HIV)-positive patient developed a Candida infection post-eyelid surgery.
The infection presented as erythema and pustules within the surgical site.
Initial broad-spectrum antibiotic treatment was ineffective.

Findings:

Wound culture confirmed *Candida albicans* infection.
The patient responded well to targeted antifungal therapy with fluconazole and clotrimazole.
Successful graft healing was achieved despite the infection.

Implications:

Early diagnosis and appropriate antifungal treatment are critical for managing postoperative Candida infections.
Awareness of risk factors, including immunosuppression and complex surgeries, is essential.
This case underscores the need for vigilance in identifying non-bacterial causes of surgical site infections.