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A Case of Psoas Abscess Caused by Candida glabrata
Mi Kim1, Jacob Lee1, Chang Su Chung1, Joo Hyun Jang1, Byung Moo Ahn1 and Wonkeun Song2
Division of Infectious Disease1, Departments of Internal Medicine, Laboratory Medicine2, College of Medicine, Hallym University, Seoul, Korea
Vol.42 Num.1 (p43~47)
Infections due to Candida species are becoming more frequent in several patient population and settings. The proportion of non-albicans Candida spp. causing candidemia has increased during the recent decades. Especially, fungaemia due to Candida glabrata has reduced susceptibility to azoles. We report a case of iliopsoas abscess caused by Candida glabrata. A 51-year-old male diabetic patient was admitted with fever and both hip joint pain. Abdominal CT scan revealed huge left iliopsoas intramuscular abscess and left perinephric abscess. The abscess was drained percutaneously. Cultures of the pus were positive for Candida glabrata. The patient’s condition improved after abscess drainage and was discharged with oral antifungal agent.
Keywords : Candida glabrata, Psoas abscess, Amphotericin B, Voriconazole