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30 医学系研究科 >
3005 北関東医学会 >
330501 The Kitakanto medical journal >
Vol.60 (2010) >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10087/5630

Title: Candida Glabrata Fungemia After Amputation of an Infected Diabetic Foot
Authors: Takeshi, Fujiwara
Takashi, Nagai
Katsumi, Kaneko
Kazunori, Tonouchi
Kazuma, Okamoto
Ken, Masubuchi
Takao, Ishizuka
Kunihiko, Iizuka
Yoshio, Umegae
Keywords: diabetic gangrene
renal abscess
candida glabrata
Issue Date: 1-Aug-2010
Publisher: 北関東医学会
Citation: The Kitakanto Medical Journal. 60(3) 259-263 (2010)
Abstract: A 58-year-old woman suffered from left pyelonephritis with diabetic triopathy on admission at which time a double J stent was inserted in the left ureter and was left untreated for a year. She was admitted due to fever,thirst,polydipsia,polyuria and,left 1,2-toe ulcer and vacuole. We diagnosed diabetic foot infections. We used 6g of ampicillin-sulbactum and 40μg of alprostadil alfadex daily in addition to diet and insulin therapy for diabetes mellitus. As the toe lesion deteriorated, a left foot amputation was performed at the 11th day. The subfever continued and the consciousness level deteriorated from alert to 100 on the Japan coma scale and acute respiratory failure occurred 21 days after operation. Whole body computed tomography showed invasive lesions in bilateral pulmonary lower lobes and renal pelvic dilatation and perirenal abscess in left kidney indicating renal abscess. Milk-like urine was excreted. Urine and blood culture detected Candida glabrata. Fundoscopic exam showed retinal exudates indicating mycotic endophthalmitis. We diagnosed candida glabrata sepsis from pyelonephritis. After using 200mg of micafungin daily, the patient recovered. In addition to exchanging the stent, treatment of diabetes mellitus is important for the prevention of severe infection.
URI: http://hdl.handle.net/10087/5630
ISSN: 1343-2826
Appears in Collections:Vol.60 (2010)

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