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Severe Acute Leukopenia Due to Candida Parapsilosis in an Old Comorbid Woman: A Case Report
Author(s) -
Fabbian Fabio,
Giorgi Alfredo,
Pala Marco,
Tiseo Ruana,
Misurati Elisa,
Manfredini Roberto
Publication year - 2013
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/jgs.12217
Subject(s) - medicine , leukopenia , abdominal pain , surgery , gastroenterology , sinus bradycardia , blood pressure , heart rate , chemotherapy , bradycardia
A study conducted in the United States on administrative data reported an increasing volume of hospitalizations with resistant infections in elderly people, with a disproportionate contribution of people aged 85 and older. We here report a clinical case of a 93-year-old comorbid woman admitted to the hospital complaining from fever and vomiting, who showed a severe leukopenia, suggestive for acute sepsis. Enterobacter cloacae and Pseudomonas aeruginosa were isolated in the urine, and blood culture resulted positive for Candida parapsilosis. Although appropriate therapy was immediately given, clinical conditions worsened, and the patient died shortly later. The peculiar aspects of this case are discussed