Open AccessCandida Cholecystitis in a Diabetic Patient on Chronic Peritoneal Dialysis
Author(s) -
Weng ChengHao,
Chang ChizTzung,
Lin JaLiang,
Hung ChengChieh,
Yang ChihWei,
Yen TzungHai
Publication year - 2008
Publication title -
dialysis & transplantation
Language(s) - English
Resource type - Journals
eISSN - 1932-6920
pISSN - 0090-2934
DOI - 10.1002/dat.20279
Subject(s) - medicine , continuous ambulatory peritoneal dialysis , peritoneal dialysis , septic shock , cholecystitis , peritonitis , leukocytosis , dialysis , kidney disease , surgery , shock (circulatory) , candida glabrata , gallbladder , sepsis , antifungal , dermatology
Acute cholecystitis caused by Candida glabrata is a rare condition. We present a 60‐year‐old female patient with end‐stage renal failure on continuous ambulatory peritoneal dialysis experiencing high fever, shock, and leukocytosis. There was no evidence of continuous ambulatory peritoneal dialysis peritonitis. Abdominal computed tomography showed evidence of acute cholecystitis. A bile culture from percutaneous gallbladder drainage and a urine culture both showed growth of C. glabrata. However, after treatment with oral fluconazole and broad‐spectrum antibiotics, the patient died of septic shock.