Late complications of Candida (Torulopsis) glabrata fungemia: description of a phenomenon

Scand J Infect Dis. 2002;34(11):817-8. doi: 10.1080/0036554021000026936.

Abstract

Complications occurring > 1 month after Candida glabrata fungemia have not been studied. We conducted a study to determine the frequency and morbidity of complications of C. glabrata bloodstream infections occurring > 1 month after infection. Late complications were common (incidence 9.9 per 100 patient years), and most often occurred within the first year. In a multivariate analysis, late complications were associated with the presence of diabetes mellitus [odds ratio (OR) 12.2; 95% confidence interval (CI) 1.2-130] and chronic renal failure (OR 14.7; 95% CI 1.2-184). These data suggest that careful long-term follow-up of patients with C. glabrata fungemia is important and present an opportunity to explore secondary prophylaxis.

MeSH terms

  • Adult
  • Candida glabrata / pathogenicity
  • Candida glabrata / physiology*
  • Candidiasis / complications*
  • Candidiasis / mortality
  • Diabetes Complications*
  • Female
  • Fungemia / complications*
  • Fungemia / mortality
  • Humans
  • Kidney Failure, Chronic / complications*
  • Kidney Failure, Chronic / mortality
  • Male
  • Odds Ratio
  • Recurrence
  • Risk Factors
  • Time Factors