Candida cellulitis: a complication of percutaneous endoscopic gastrostomy

Patel, Atulkumar; DeRidder, Peter H.; Veneri, Robert J.; Lauter, Carl B.

doi:10.1016/s0016-5107(89)72917-5

Cited by 10 publications

(2 citation statements)

References 8 publications

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“…Second, an infection with gas-producing microbes following PEG placement has not been described before, although PEG site infections with Candida species have been reported. [8][9][10] Theoretically, the emphysema of the abdominal wall could be a consequence of the pneumoperitoneum, which is regularly seen after PEG insertion. But in this patient, the emphysema could be detected only within the necrotic skin area.…”

Section: Discussionmentioning

confidence: 99%

Necrotizing Candida Infection After Percutaneous Endoscopic Gastrostomy: A Fatal and Rare Complication

Wirth

Bauer

Sieber

2008

J Parenter Enteral Nutr

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Gastrostomy site infections following percutaneous endoscopic gastrostomy (PEG) are the most common complication after PEG placement. Recent meta‐analyses were able to show that PEG site infections can be reduced significantly with a systemic antimicrobial prophylaxis. This mostly cephalosporin‐ or penicillin‐based prophylaxis does not cover fungal infections. Although Candida skin infections after PEG placement are rarely described, a mucosal colonization or infection of the upper GI tract with Candida species is very common, especially in severely ill patients such as those requiring artificial nutrition. The authors report a rare and lethal case of a necrotizing PEG site infection with Candida albicans in a patient with diabetes with multiple comorbidities, presenting like gas gangrene. In patients with probable immunodeficiency or visible candidiasis of the skin, oropharynx, or esophagus, a Candida infection should be considered in case of a gastrostomy site infection.

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Section: Discussionmentioning

confidence: 99%

Necrotizing Candida Infection After Percutaneous Endoscopic Gastrostomy: A Fatal and Rare Complication

Wirth

Bauer

Sieber

2008

J Parenter Enteral Nutr

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“…The gastrostomy tube was then pulled out through both the stomach and anterior abdominal wall (Figs. [3][4][5], and the stomach snugged up without tension to the parietal peritoneum (Fig. 6).…”

Section: Case Reportmentioning

confidence: 99%

Laparoscopic Placement of a Percutaneous Endoscopic Gastrostomy (PEG) Feeding Tube

Raaf

Manney²,

Okafor³

et al. 1993

Journal of Laparoendoscopic Surgery

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Patients may have abnormal anatomic relationships between the stomach and adjacent organs, particularly when there is a history of abdominal surgery and adhesion formation. Routine placement of a percutaneous endoscopic gastrostomy tube can then be unsafe and result in inadvertent colon perforation, small bowel enterotomy, or injury to other structures. Described herein is a 94-year-old malnourished male in whom the colon lay directly anterior to the greater curvature of the stomach. A new technique was devised--laparoscopically-directed PEG placement--which proved to be a safer alternative approach in this patient.

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