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Candida infection in the intensive care unit 

Candida infection in the intensive care unit
Chapter:
Candida infection in the intensive care unit
Author(s):

Luke Moore

DOI:
10.1093/med/9780199665754.003.0010
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date: 21 January 2020

This chapter illustrates a classic case of candidaemia occurring in the intensive care setting. The combination of abdominal surgery, central venous line, TPN and broad-spectrum antibiotics are all classic risk factors for the development of Candida bloodstream infection, and dissemination of the yeast to other sites is not unusual. Involvement of the eye is one of the most common infection-related complications, followed by endocarditis and bone or joint infection. However, cerebral abscesses are a rare event in adults. The diagnosis and management of Candida infection (in this case the germ tube negative C. glabrata) is discussed with particular regard to screening for carriage, and testing for susceptibility to and choice of antifungal agents such as fluconazole and echinafungin.

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