Septic pulmonary embolism caused by Candida albicans after treatment for urinary multidrug-resistant Pseudomonas aeruginosa

J Infect Chemother. 2008 Dec;14(6):436-8. doi: 10.1007/s10156-008-0646-8. Epub 2008 Dec 17.

Abstract

After treatment with antimicrobial chemotherapy for the elimination of urinary multidrug-resistant Pseudomonas aeruginosa (MDRP), a 48-year-old man with recurrence of bladder cancer complained of acute onset of dyspnea, and computed tomography revealed multiple nodular lesions in the lung. Candida albicans was isolated from both urinary and blood samples. He was diagnosed as having a septic pulmonary embolism caused by C. albicans. Fungal septic pulmonary embolism is a rare condition; however, we must be cautious about superinfection as a consequence of strong antimicrobial chemotherapy, and understand that the treatment for urinary MDRP is likely to be difficult.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Blood / microbiology
  • Candida albicans / isolation & purification*
  • Candidiasis / microbiology*
  • Drug Resistance, Multiple, Bacterial*
  • Fungemia / microbiology*
  • Humans
  • Male
  • Middle Aged
  • Pseudomonas Infections / drug therapy*
  • Pseudomonas Infections / microbiology
  • Pseudomonas aeruginosa / drug effects*
  • Pulmonary Embolism / microbiology*
  • Urine / microbiology

Substances

  • Anti-Bacterial Agents