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KMID : 1144320120440030188
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감염과 화학요법
2012 Volume.44 No. 3 p.188 ~ p.192
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A Case of Delayed Onset Chest Wall Abscess after Candidemia
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Yoo Ha-Na
Chung Chang-Su
Jung Sung-Woong
Moh In-Ho
Song Won-Keun
Lee Jae-Cob
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Abstract
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Recently, the incidence of candida infection has increased. Candida species often show hematogenous spread to the kidney, brain, heart, and eyes. And delayed onset of hematogenous spread is relatively rare. A 53-year-old female patient was admitted with left anterior chest pain with swelling and mild fever. She had been treated successfully with fluconazole for candidemia caused by C. albicans eight month ago. On admission chest CT scan revealed multiple subcutaneous abscesses involving the anterior chest. Percutaneous drainage of the abscess was performed. C. albicans was isolated from drained pus. Treatment with fluconazole did not to improve the abscess; therefore, micafungin and voriconazole were administered as a replacement. The patient recovered after 10-week administration.
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KEYWORD
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Candidemia, Fluconazole, Micafungin, Voriconazole
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