A case of Candida mediastinitis after dental extraction
Acute mediastinitis is a serious infection involving the connective mediastinal tissue in the interpleural spaces and other thoracic structures. Candida albicans mediastinitis is a rare clinical entity associated with high mortality and morbidity. We present a rare case of a previously healthy and...
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The Journal of Infection in Developing Countries
2010-07-01
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| Series: | Journal of Infection in Developing Countries |
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| Online Access: | https://jidc.org/index.php/journal/article/view/1086 |
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| author | Parisa Badiee Abdolvahab Alborzi Farimah Farhoudi |
| author_facet | Parisa Badiee Abdolvahab Alborzi Farimah Farhoudi |
| author_sort | Parisa Badiee |
| collection | DOAJ |
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Acute mediastinitis is a serious infection involving the connective mediastinal tissue in the interpleural spaces and other thoracic structures. Candida albicans mediastinitis is a rare clinical entity associated with high mortality and morbidity. We present a rare case of a previously healthy and immunocompetent man with Candida mediastinitis due to retropharyngeal abscess after dental extraction, who presented with odynophagia and fever. Antibiotics were prescribed and surgical drainage was performed after diagnosis of mediastinitis by CT scan; however, the patient remained febrile. The second culture obtained during irrigation of the mediastinum was positive for Candida albicans and the patient was responsive to antifungal therapy and survived. This case illustrates the need to consider a fungal cause in immunocompetent patients with mediastinitis who are not responsive to broad spectrum antibiotics and surgical drainage.
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| format | Article |
| id | doaj-art-c86377a673ee4c238b05f1fe27a0fada |
| institution | OA Journals |
| issn | 1972-2680 |
| language | English |
| publishDate | 2010-07-01 |
| publisher | The Journal of Infection in Developing Countries |
| record_format | Article |
| series | Journal of Infection in Developing Countries |
| spelling | doaj-art-c86377a673ee4c238b05f1fe27a0fada2025-08-20T02:27:06ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802010-07-0150110.3855/jidc.1086A case of Candida mediastinitis after dental extractionParisa Badiee0Abdolvahab Alborzi1Farimah Farhoudi2Prof. Alborzi Clinical Microbiology Research Center, Shiraz University of Medical Sciences, Shiraz, IranProf. Alborzi Clinical Microbiology Research Center, Shiraz University of Medical Sciences, Shiraz, IranProf. Alborzi Clinical Microbiology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran Acute mediastinitis is a serious infection involving the connective mediastinal tissue in the interpleural spaces and other thoracic structures. Candida albicans mediastinitis is a rare clinical entity associated with high mortality and morbidity. We present a rare case of a previously healthy and immunocompetent man with Candida mediastinitis due to retropharyngeal abscess after dental extraction, who presented with odynophagia and fever. Antibiotics were prescribed and surgical drainage was performed after diagnosis of mediastinitis by CT scan; however, the patient remained febrile. The second culture obtained during irrigation of the mediastinum was positive for Candida albicans and the patient was responsive to antifungal therapy and survived. This case illustrates the need to consider a fungal cause in immunocompetent patients with mediastinitis who are not responsive to broad spectrum antibiotics and surgical drainage. https://jidc.org/index.php/journal/article/view/1086CandidaMediastinitisOdynophagia |
| spellingShingle | Parisa Badiee Abdolvahab Alborzi Farimah Farhoudi A case of Candida mediastinitis after dental extraction Journal of Infection in Developing Countries Candida Mediastinitis Odynophagia |
| title | A case of Candida mediastinitis after dental extraction |
| title_full | A case of Candida mediastinitis after dental extraction |
| title_fullStr | A case of Candida mediastinitis after dental extraction |
| title_full_unstemmed | A case of Candida mediastinitis after dental extraction |
| title_short | A case of Candida mediastinitis after dental extraction |
| title_sort | case of candida mediastinitis after dental extraction |
| topic | Candida Mediastinitis Odynophagia |
| url | https://jidc.org/index.php/journal/article/view/1086 |
| work_keys_str_mv | AT parisabadiee acaseofcandidamediastinitisafterdentalextraction AT abdolvahabalborzi acaseofcandidamediastinitisafterdentalextraction AT farimahfarhoudi acaseofcandidamediastinitisafterdentalextraction AT parisabadiee caseofcandidamediastinitisafterdentalextraction AT abdolvahabalborzi caseofcandidamediastinitisafterdentalextraction AT farimahfarhoudi caseofcandidamediastinitisafterdentalextraction |