Pyomyositis With Hepatic and Perinephric Abscesses Caused by Candida Albicans in a Diabetic Nephropathy Patient

Am J Med Sci. 2006 May;331(5):292-4. doi: 10.1097/00000441-200605000-00013.

Abstract

Both disseminated candidiasis and pyomyositis are rare and mainly encountered in severely immunocompromised hosts. To our knowledge, Candida albicans related pyomyositis with formation of multiple visceral abscesses in a diabetic nephropathy patient has never previously been reported. A 47-year-old man with diabetic nephropathy and alcoholic liver disease developed disseminated candidiasis, with the initial presentation of pyomyositis. Debridement was performed and intravenous fluconazole commenced. Despite development of a single hepatic and multiple perinephric abscesses, the patient made a full recovery after completion of a 12-week course of intravenous fluconazole therapy. Candida species should be considered a potential pathogen in patients with predisposing factors.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Abscess / complications
  • Abdominal Abscess / diagnosis*
  • Antifungal Agents / therapeutic use
  • Candida albicans / drug effects
  • Candida albicans / isolation & purification
  • Candidiasis / complications
  • Candidiasis / diagnosis*
  • Candidiasis / drug therapy
  • Diabetic Nephropathies / complications*
  • Diagnosis, Differential
  • Fluconazole / therapeutic use
  • Humans
  • Kidney Diseases / complications
  • Kidney Diseases / diagnosis
  • Liver Abscess / complications
  • Liver Abscess / diagnosis*
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Myositis / complications
  • Myositis / diagnosis*
  • Myositis / microbiology
  • Tomography, X-Ray Computed

Substances

  • Antifungal Agents
  • Fluconazole