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[Post-operative peritonitis due to Candida albicans. Two cases (author's transl)]
La Nouvelle Presse Medicale
|October 10, 1981
Summary
Candida albicans peritonitis is a rare but severe infection. Distinguishing it from other abdominal infections and prompt antifungal and surgical treatment are crucial for patient outcomes.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Surgical Pathology
Background:
- Peritonitis, an inflammation of the peritoneum, can be caused by various pathogens.
- Candida albicans peritonitis is an uncommon but serious clinical entity.
Observation:
- This condition is often associated with intra-abdominal infections, particularly from perforated hollow viscera.
- Two reported cases followed subtotal pancreatectomy for necrotizing pancreatitis and a perforated ulcer, respectively.
Findings:
- Accurate differentiation from secondary Candida infections in ascites is essential.
- Treatment involves systemic or topical antifungal agents based on infection localization.
- Surgical management mirrors general peritonitis protocols, including re-operation for deep septic foci.
Implications:
- Prompt diagnosis and tailored treatment are critical for managing Candida albicans peritonitis.
- Extraperitoneal candidiasis significantly worsens the prognosis.
- Further research into this rare condition may improve therapeutic strategies.