Candidemia from an Upper Urinary Tract Infection Complicated by Candida Endophthalmitis
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- Suzuki Reina
- Division of General Medicine, Department of Comprehensive Medicine 1, Saitama Medical Center, Jichi Medical University, Japan
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- Kuroda Hitoshi
- Division of General Medicine, Department of Comprehensive Medicine 1, Saitama Medical Center, Jichi Medical University, Japan Department of Education and Support for Regional Medicine, Tohoku University Hospital, Japan
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- Matsubayashi Hiroshi
- Division of General Medicine, Department of Comprehensive Medicine 1, Saitama Medical Center, Jichi Medical University, Japan
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- Ishii Akira
- Division of General Medicine, Department of Comprehensive Medicine 1, Saitama Medical Center, Jichi Medical University, Japan
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- Toyoda Fumihiko
- Divisions of Ophthalmology, Department of Comprehensive Medicine 2, Saitama Medical Center, Jichi Medical University, Japan
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- Kawarai Lefor Alan
- Department of Surgery, Jichi Medical University, Japan
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- Sugawara Hitoshi
- Division of General Medicine, Department of Comprehensive Medicine 1, Saitama Medical Center, Jichi Medical University, Japan
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抄録
A 51-year-old Japanese woman developed candidemia as an outpatient secondary to a Candida albicans upper urinary tract infection complicated by previously undiagnosed type 2 diabetes mellitus with poor glycemic control and ureterolithiasis. The patient did not have any risk factors typically associated with candidemia, such as an indwelling vascular catheter, parenteral nutrition or broad-spectrum antibiotic use. During the clinical course, her condition was complicated by unilateral candida endophthalmitis, which progressed despite the administration of systemic antifungal agents and ultimately required vitreous surgery. The etiology of candidemia in this patient and the reason she developed progressive ocular symptoms after starting antifungal treatment are reviewed.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 54 (20), 2693-2698, 2015
一般社団法人 日本内科学会