Invasive candidiasis presenting bronchiectatic cavity as chest radiological findings: A case report
Invasive candidiasis is rare but is associated with high mortality in immunocompromised or critically ill patients. Here, we present a case of a 55-year-old man with untreated diabetes who was diagnosed with coronavirus disease 2019 and subsequently developed invasive candidiasis. The patient presen...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-10-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323004570 |
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| author | Atsuhiro Ijiri, MD Takero Terayama, MD, PhD Hiroaki Sugiura, MD, PhD Mayuko Kaneko, MD Soichiro Seno, MD, PhD Nobuaki Kiriu, MD Hiroshi Kato, MD Yasumasa Sekine, MD, PhD Hiroshi Shinmoto, MD, PhD Tetsuro Kiyozumi, MD, PhD |
| author_facet | Atsuhiro Ijiri, MD Takero Terayama, MD, PhD Hiroaki Sugiura, MD, PhD Mayuko Kaneko, MD Soichiro Seno, MD, PhD Nobuaki Kiriu, MD Hiroshi Kato, MD Yasumasa Sekine, MD, PhD Hiroshi Shinmoto, MD, PhD Tetsuro Kiyozumi, MD, PhD |
| author_sort | Atsuhiro Ijiri, MD |
| collection | DOAJ |
| description | Invasive candidiasis is rare but is associated with high mortality in immunocompromised or critically ill patients. Here, we present a case of a 55-year-old man with untreated diabetes who was diagnosed with coronavirus disease 2019 and subsequently developed invasive candidiasis. The patient presented with fever, tachycardia, and tachypnea. Chest computed tomography revealed multiple consolidations mainly distributed around the bronchovascular bundles with bronchiectatic cavity formation, which initially raised suspicion for invasive pulmonary aspergillosis. However, subsequent testing confirmed Candida albicans infection; hence, we changed the antifungal agents effective for invasive candidiasis. This improved the patient's respiratory status, and he was then successfully weaned from mechanical ventilation. This case report highlights the importance of considering invasive candidiasis in the differential diagnosis of patients with bronchiectatic cavities on chest computed tomography, particularly in immunocompromised or critically ill patients with risk factors for invasive candidiasis. |
| first_indexed | 2024-03-12T13:37:37Z |
| format | Article |
| id | doaj.art-b9373017f84846478a494fb6181f2165 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-03-12T13:37:37Z |
| publishDate | 2023-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-b9373017f84846478a494fb6181f21652023-08-24T04:34:31ZengElsevierRadiology Case Reports1930-04332023-10-01181034673470Invasive candidiasis presenting bronchiectatic cavity as chest radiological findings: A case reportAtsuhiro Ijiri, MD0Takero Terayama, MD, PhD1Hiroaki Sugiura, MD, PhD2Mayuko Kaneko, MD3Soichiro Seno, MD, PhD4Nobuaki Kiriu, MD5Hiroshi Kato, MD6Yasumasa Sekine, MD, PhD7Hiroshi Shinmoto, MD, PhD8Tetsuro Kiyozumi, MD, PhD9Department of Traumatology and Critical Care Medicine, National Defense Medical College, 3-2 Namiki, Saitama, 359-8513, JapanDepartment of Traumatology and Critical Care Medicine, National Defense Medical College, 3-2 Namiki, Saitama, 359-8513, Japan; Department of Emergency, Self-Defense Forces Central Hospital, Ikeziri 1-2-24, Setagaya, Tokyo, 154-0001, Japan; Corresponding author.Department of Radiology, National Defense Medical College, 3-2 Namiki, Saitama, 359-8513, JapanDepartment of Traumatology and Critical Care Medicine, National Defense Medical College, 3-2 Namiki, Saitama, 359-8513, JapanDepartment of Traumatology and Critical Care Medicine, National Defense Medical College, 3-2 Namiki, Saitama, 359-8513, JapanDepartment of Traumatology and Critical Care Medicine, National Defense Medical College, 3-2 Namiki, Saitama, 359-8513, JapanDepartment of Traumatology and Critical Care Medicine, National Defense Medical College, 3-2 Namiki, Saitama, 359-8513, JapanDepartment of Traumatology and Critical Care Medicine, National Defense Medical College, 3-2 Namiki, Saitama, 359-8513, JapanDepartment of Radiology, National Defense Medical College, 3-2 Namiki, Saitama, 359-8513, JapanDepartment of Traumatology and Critical Care Medicine, National Defense Medical College, 3-2 Namiki, Saitama, 359-8513, JapanInvasive candidiasis is rare but is associated with high mortality in immunocompromised or critically ill patients. Here, we present a case of a 55-year-old man with untreated diabetes who was diagnosed with coronavirus disease 2019 and subsequently developed invasive candidiasis. The patient presented with fever, tachycardia, and tachypnea. Chest computed tomography revealed multiple consolidations mainly distributed around the bronchovascular bundles with bronchiectatic cavity formation, which initially raised suspicion for invasive pulmonary aspergillosis. However, subsequent testing confirmed Candida albicans infection; hence, we changed the antifungal agents effective for invasive candidiasis. This improved the patient's respiratory status, and he was then successfully weaned from mechanical ventilation. This case report highlights the importance of considering invasive candidiasis in the differential diagnosis of patients with bronchiectatic cavities on chest computed tomography, particularly in immunocompromised or critically ill patients with risk factors for invasive candidiasis.http://www.sciencedirect.com/science/article/pii/S1930043323004570Invasive fungal infectionCandida pneumoniaPulmonary candidiasisCOVID-19-associated candidiasis |
| spellingShingle | Atsuhiro Ijiri, MD Takero Terayama, MD, PhD Hiroaki Sugiura, MD, PhD Mayuko Kaneko, MD Soichiro Seno, MD, PhD Nobuaki Kiriu, MD Hiroshi Kato, MD Yasumasa Sekine, MD, PhD Hiroshi Shinmoto, MD, PhD Tetsuro Kiyozumi, MD, PhD Invasive candidiasis presenting bronchiectatic cavity as chest radiological findings: A case report Radiology Case Reports Invasive fungal infection Candida pneumonia Pulmonary candidiasis COVID-19-associated candidiasis |
| title | Invasive candidiasis presenting bronchiectatic cavity as chest radiological findings: A case report |
| title_full | Invasive candidiasis presenting bronchiectatic cavity as chest radiological findings: A case report |
| title_fullStr | Invasive candidiasis presenting bronchiectatic cavity as chest radiological findings: A case report |
| title_full_unstemmed | Invasive candidiasis presenting bronchiectatic cavity as chest radiological findings: A case report |
| title_short | Invasive candidiasis presenting bronchiectatic cavity as chest radiological findings: A case report |
| title_sort | invasive candidiasis presenting bronchiectatic cavity as chest radiological findings a case report |
| topic | Invasive fungal infection Candida pneumonia Pulmonary candidiasis COVID-19-associated candidiasis |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323004570 |
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