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Polymicrobial candidemia


, : Polymicrobial candidemia. Diagnostic Microbiology & Infectious Disease 44(4): 353-357, December

We conducted a retrospective review of the clinical data on patients with polymicrobial candidemia during a nine-year period (1992-2000) at our tertiary care University Hospital. Also, the clinical features of patients with polymicrobial vs monomicrobial candidemia were compared. There were 16 (5.2%) patients with multiple candidal species in blood among 303 patients with candidemia. Patients' age varied from 21-85 years (median 52 years); they had serious underlying co-morbidities with prolonged hospitalization (median duration 13 days); all had intravenous vascular catheters, had been exposed to multiple antibiotics and were heavily colonized with Candida. Concomitant serious bacterial infections were common (56%). Candida albicans was isolated from blood in 11 of 16 patients; other species were C. glabrata (7 patients), C. tropicalis (6 patients) and C. parapsilosis (4 patients). Sixty seven percent (8 of 12) patients had causative Candida species isolated from vascular catheter tip culture. Polymicrobial candidemia occurred in sicker, non-oncologic patients with frequent concomitant bacterial infections, as compared to those with monomicrobial candidemia. Crude mortality was 43%, a rate similar to that seen with monomicrobial candidemia. Polymicrobial candidemia is uncommon, seen in hospitalized patients with multiple co-morbidities and heavy candidal colonization; removal of vascular catheter and institution of antifungal therapy are important therapeutic maneuvers.

US$19.90

DOI: 10.1016/s0732-8893(02)00460-1


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Balaji, S.; Sujatha, A.; Kalyanasundaram, I., 2000: A simple rapid procedure for obtaining axenic cultures from monoxenic cultures of myxomycete plasmodia. Axenic culture of myxomycete plasmodia has been attempted from time to time by various authors, but with very little success. From over 500 known species of myxomycetes, fewer than 20 species have been reported in axenic culture to date, including...

Shabanov M.; Balabanov V.A., 1983: Aspergillosis in bees in bulgaria and its causes. The clinical manifestation of aspergillosis in bee colonies in different regions of Bulgaria was studied. The causative agents [Aspergillus fumigatus, A. glaucus, A. flavus, A. terreus, Ascosphaera apis, Bacillus laterosporus, B. gracilosporus, B....

Guillemaut, P.; Keith, G., 1977: Primary structure of bean chloroplastic tRNAPhe. Comparison with Euglena chloroplastic tRNAPhe. Febs Letters 84(2): 351-356

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Tian, X.Q.n, J., 2004: Effects of previous ration restriction on compensatory growth in barramundi Lates calcarifer. Compensatory growth of juvenile barramundi Lates calcarifer was examined after fish had experienced different pre-feeding regimes. Fish were first fed at 0%, 25%, 50% and 75% satiation (RL0, RL25, RL50 and RL75, respectively) for 2 weeks before sa...

Antle, G.; Johnson, C., 1981: Apple graders manual. Extension bulletin E Michigan State University Cooperative Extension Service: 981 (747)

Raulo, J.; Jean, R.; Bouchier, G., 1971: Penetration of various radioisotope labeled drugs into the dental tissues. Rassegna Internazionale di Stomatologia Pratica 22(2): 59-69

Próspero, Més., 2010: Mental health symptoms among male victims of partner violence. This study investigates mental health symptoms among female and male victims of intimate partner violence (IPV). More than 570 university students completed surveys that measured past IPV victimization and mental health symptoms. Cluster analyses...

Ono, K.; Arimoto, H.; Wada, K.; Takahara, T.; Shirotani, T.; Shimizu, A.; Sakai, Y.; Matsukuma, S.; Hatanaka, K.; Inohara, T., 2004: Multicentric involvement of non-Hodgkin's lymphoma in the central nervous system and testis--case report. A 73-year-old male presented with diffuse mixed B cell lymphoma with involvement of the central nervous system (CNS) and testis manifesting as mild disorientation and aphasia. A left frontal cerebral mass and a right testicular tumor were found, a...

Pfaffenbach, B.; Wegener, M.; Böhmeke, T., 1996: Hepatic portal venous gas after transgastric EUS-guided fine-needle aspiration of an accessory spleen. Gastrointestinal Endoscopy 43(5): 515-518