Necrotizing candida infection after percutaneous endoscopic gastrostomy: A fatal and rare complication
Wirth R, Bauer J, Sieber C (2008)
Publication Status: Published
Publication Type: Journal article
Publication year: 2008
Journal
Publisher: SAGE PUBLICATIONS INC
Book Volume: 32
Pages Range: 285-287
Journal Issue: 3
Abstract
Gastrostomy site infections following percutaneous endoscopic gastrostomy (PEG) are the most common complication after PEG Placement. Recent meta-analyses were able to show that PEG site infections can he reduced significantly with a systemic anti microbial prophylaxis. This mostly cephalosporin- or penicillin-based prophylaxis does not cover fungal infections. Although Candida skin infections after PEG placement are rarely described, a mucosal colonization or infection of the upper Gl tract with Candida species is very common, especially in severely ill patients such its those requiring artificial nutrition. The authors report a rare and lethal case of a necrotizing PEG site infection with Candida albicans in a patient with diabetes with multiple comorbidities, presenting like gas gangrene. In patients with probable immunodeficiency or visible candidiasis of the skin, oropharynx, or esophagus, a Candida infection should be considered in case of a gastrostomy site infection.
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Germany (DE)How to cite
APA:
Wirth, R., Bauer, J., & Sieber, C. (2008). Necrotizing candida infection after percutaneous endoscopic gastrostomy: A fatal and rare complication. Journal of Parenteral and Enteral Nutrition, 32(3), 285-287. https://dx.doi.org/10.1177/0148607108316190
MLA:
Wirth, Rainer, Jürgen Bauer, and Cornel Sieber. "Necrotizing candida infection after percutaneous endoscopic gastrostomy: A fatal and rare complication." Journal of Parenteral and Enteral Nutrition 32.3 (2008): 285-287.
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