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08 July 2019 : Case report  Lebanon

A Rare Case of Candida Pericarditis Associated with Esophagopericardial Fistula

Rare disease

Anthony Matta12ABCDEF*, Khaled Elenizi23ABCDEG, Rasha AlHarthi2ABE, Nicolas Moussallem14ABE, Noureddine Elhajjaj2ABE, Thibault Lhermusier2ABE, Didier Carrie2ABE

DOI: 10.12659/AJCR.916006

Am J Case Rep 2019; 20:975-979

Abstract

BACKGROUND: Candida albicans is the principal human fungal opportunistic organism commonly detected in the gastrointestinal and genitourinary systems. Five species of candida (Glabrata, Tropicalis, Albicans, Parapsilosis, and Kruzei) are responsible for most cases of invasive candidiasis or candidemia, which is a growing public health concern due to the increasing complexity of patients, leading to a high fatality rate.

CASE REPORT: We report an extremely rare case of candida pericarditis due to esophagopericardial fistula in a young, heavy, alcoholic adult diagnosed by culture of the drained pericardial fluid, which showed a growth of Candida albicans.

CONCLUSIONS: We highlight the first case of candida pericarditis in immunocompetent adult successfully treated by pericardiocentesis and oral fluconazole.

Keywords: Candida, Gastric Fistula, Pericarditis, Antifungal Agents, Candida albicans, candidemia, Chest Pain, Esophageal Fistula, fluconazole, Immunocompromised Host, Pericardiocentesis

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923