Fungus-infected Fluid Collections in Thorax or Abdomen: Effectiveness of Percutaneous Catheter Drainage

Varghese, Jose C.; Hahn, Peter F.; Harisinghani, Mukesh G.; Hayat, Sikandar; Gervais, Deborah A.; Hooper, David C.; Müeller, Peter R.

doi:10.1148/radiol.2362031044

Cited by 7 publications

(4 citation statements)

References 29 publications

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“…Candidemia is diagnosed when Candida spp. are isolated from at least one blood culture [59]. The mortality rates for candidemia range from 5% in intensive care units in the USA to 71% in liver transplant recipients [60].…”

Section: Bloodmentioning

confidence: 99%

Evaluation of Human Body Fluids for the Diagnosis of Fungal Infections

Badiee

2013

BioMed Research International

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Section: Bloodmentioning

confidence: 99%

Evaluation of Human Body Fluids for the Diagnosis of Fungal Infections

Badiee

2013

BioMed Research International

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“…The shortest trajectory to the collection that crosses the least number of pleural surfaces should be attempted to minimize the risk of pneumothorax and cross-contamination. Scant literature data are available for drainage of fungal collections in the chest but drainage of fungal collections often results in lower clinical success despite high technical success 9 with poor outcomes predicted by collection complexity, history of malignancy, and admission to the intensive care unit.…”

Section: Drainage Procedures By Locationmentioning

confidence: 99%

Complications of Percutaneous Fluid Drainage

Lorenz¹,

Thomas²

2006

Semin intervent Radiol

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Percutaneous abscess drainage is one of the most common and rewarding procedures performed by interventional radiologists. Technical success is immediately apparent by aspiration of purulent contents and is nearly always achieved, with rates exceeding 90% in most literature studies. Clinical success is typical even for many abscesses colonized with multidrug-resistant organisms. In patients presenting with sepsis, this procedure offers an immediate and minimally invasive solution to a life-threatening condition, often resulting in defervescence and restoration of hemodynamic stability within 1 to 2 days. Although complications of abscess drainage are uncommon, radiologists should be able to recognize and treat all adverse sequelae discussed in this article.

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“…Gastroscopy and multi-detector row CT (MDCT) revealed a gastropleural fistula. On the basis of this experience, we investigated previous clinical reviews of Candida empyema, of which there have been a limited number (6,7), and several sporadic case reports (8)(9)(10)(11)(12)(13). These patients often suffered from esophageal rupture and showed mixed infection with oropharyngeal organisms (8)(9)(10)(11)(12)(13).…”

Section: Introductionmentioning

confidence: 99%

Isolation of Candida Species is an Important Clue for Suspecting Gastrointestinal Tract Perforation as a Cause of Empyema

Ishiguro¹,

Takayanagi²,

Ikeya

et al. 2010

Intern. Med.

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Background Empyema due to Candida species is a rare entity, and the significance of isolation of Candida species from the pleural effusion is not fully understood. Objective To elucidate the clinical features of Candida empyema. Methods We retrospectively reviewed the cases of 128 patients with culture-positive empyema. Results These 128 patients included 7 whose cause of empyema was esophago-or gastropleural fistula. Empyema was due to Candida species in 5 of the 7 patients. Primary diseases of these 5 patients were spontaneous esophageal rupture in 3 patients, esophageal rupture due to lung cancer invasion in 1 patient, and gastric ulcer perforation in 1 patient. None of these 5 patients had esophageal candidiasis. Among the 121 other patients with empyema not due to esophago-or gastropleural fistula, no patient had empyema due to Candida. Conclusion We believe that the empyema in these 5 patients was caused by normal commensal Candida species entering the pleural cavity when the fistula between the gastrointestinal tract and pleural cavity was formed. Isolation of Candida species can be an important clue for suspecting gastrointestinal tract perforation as a cause of empyema.

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Fungus-infected Fluid Collections in Thorax or Abdomen: Effectiveness of Percutaneous Catheter Drainage

Cited by 7 publications

References 29 publications

Evaluation of Human Body Fluids for the Diagnosis of Fungal Infections

Evaluation of Human Body Fluids for the Diagnosis of Fungal Infections

Complications of Percutaneous Fluid Drainage

Isolation of Candida Species is an Important Clue for Suspecting Gastrointestinal Tract Perforation as a Cause of Empyema

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