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

Wirth, Rainer; Bauer, Jürgen; Sieber, Cornel

doi:10.1177/0148607108316190

Cited by 15 publications

(8 citation statements)

References 20 publications

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“…Seit der Einführung der PEG ist die Zahl ihrer Anwendungen ex ponenziell gestiegen, sodass die se Proze dur beispielsweise in Deutschland mehr als 140.000mal/Jahr durchgeführt wird [68,69]. Unter Beachtung der Indikatio nen und Kontraindikationen (.…”

Section: Perkutane Sondenunclassified

Ernährungssonden bei kritisch kranken Patienten

et al. 2010

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The use of enteral feeding tubes is an important part of early enteral feeding in intensive care medicine. In other faculties with non-critically ill patients, such as (oncologic) surgery, neurology, paediatrics or even in palliative care medicine feeding tubes are used under various circumstances as a temporary or definite solution. The advantage of enteral feeding tubes is the almost physiologic administration of nutrition, liquids and medication. Enteral nutrition is thought to be associated with a reduced infection rate, increased mucosal function, improved immunologic function, reduced length of hospital stay and reduced costs. However, the insertion and use of feeding tubes is potentially dangerous and may be associated with life-threatening complications (bleeding, perforation, peritonitis, etc.). Therefore, the following article will give a summary of the different types of enteral feeding tubes and their range of application. Additionally, a critical look on indication and contraindication is given as well as how to insert an enteral feeding tube.

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Section: Perkutane Sondenunclassified

Ernährungssonden bei kritisch kranken Patienten

et al. 2010

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“…C. parapsilosis is a common cause of skin infection; however, NSTI caused by any Candida species is very rare . Reports are limited regarding necrosis related to C. parapsilosis .…”

Section: Discussionmentioning

confidence: 99%

“…One study reported a mortality outcome of 38% in a delayed treatment cohort, compared with 4.2% in early intervention (7). C. parapsilosis is a common cause of skin infection; however, NSTI caused by any Candida species is very rare (2,8,9). Reports are limited regarding necrosis related to C. parapsilosis.…”

Section: Discussionmentioning

confidence: 99%

First report of monomicrobial Candida parapsilosis necrotizing fasciitis

Gassiep

Douglas

Playford

2016

Transplant Infectious Dis

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Candida parapsilosis is an emerging pathogen worldwide. It commonly causes soft tissue infection; however, to our knowledge there has been no previous report of monomicrobial necrotizing soft tissue infection (NSTI) secondary to C. parapsilosis. We report the first case of NSTI caused by C. parapsilosis in an immunocompromised renal transplant patient, with the diagnosis proven both histologically and microbiologically. Our patient required aggressive surgical intervention and antifungal therapy, with postoperative survival at 90 days.

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“…There is also a theoretical, but unproven benefit of stopping all acidreducing agents in the week before surgery. Fungal prophylaxis is particularly indicated for children who have been on antibiotics prior to surgery [16].…”

Section: Percutaneous Gastrostomiesmentioning

confidence: 99%