Torulopsis glabrata pelvic abscess and fungemia

H. C. Wiesenfeld, S. R. Berg, Richard L Sweet

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Background: Serious infections caused by Torulopsis glabrata, once rarely encountered, have become common over the last 3 decades. The most frequent manifestations of serious fungal infections include septicemia, endocarditis, hepatosplenic infections, and meningitis. We report a case of fungemia and pelvic abscess caused by T glabrata following gynecologic surgery. Case: A 43-year-old woman developed fever, abdominal pain, and abdominal distention following a total abdominal hysterectomy and right salpingo-oophorectomy. Empirical treatment with broad-spectrum antimicrobial agents was not successful. Three sets of blood cultures were positive for T glabrata, and radiologic investigations revealed pelvic and lesser sac fluid collections. Cultures of the pelvic abscess grew T glabrata. Treatment was changed to amphotericin B, with complete clinical recovery. Conclusion: Serious T glabrata infections are rare following gynecologic surgery, especially in immunocompetent patients. Given the morbidity and mortality associated with these infections, aggressive treatment with amphotericin B and drainage of abscesses is warranted.

Original languageEnglish (US)
Pages (from-to)887-889
Number of pages3
JournalObstetrics and Gynecology
Volume83
Issue number5 II
StatePublished - 1994
Externally publishedYes

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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    Wiesenfeld, H. C., Berg, S. R., & Sweet, R. L. (1994). Torulopsis glabrata pelvic abscess and fungemia. Obstetrics and Gynecology, 83(5 II), 887-889.