A Case of <i>Candida kefyr</i> Fungemia with Pyelonephritis
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- ASAI Mariko
- Department of Clinical Laboratory, Fujisawa City Hospital
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- KAWADA Tomoko
- Department of Clinical Laboratory, Fujisawa City Hospital
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- OOSUMI Tomoyuki
- Department of Pharmacy, Fujisawa City Hospital
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- SHIMIZU Hiroyuki
- Department of Clinical Laboratory Medicine, Fujisawa City Hospital
Bibliographic Information
- Other Title
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- <i>Candida kefyr</i>菌血症をきたした腎盂腎炎の1例
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Abstract
<p>We encountered a case of Candida kefyr fungemia with pyelonephritis. C. kefyr was first isolated from a dairy kefir in Caucasus in 1909 and was originally named Saccharomyces fragilis. C. kefyr has been reported to be detected in the urine and blood of immunocompromised patients and patients with hematologic malignancies. The patient reported herein, an 89-year-old woman, visited our hospital with the chief complaints of abdominal pain and fever. She was treated by ureteral stent placement and started on PIPC/TAZ for calculous pyelonephritis caused by K. pneumoniae. The clinical course was satisfactory, however, on the 15th day of hospitalization, she again developed lower abdominal pain, blood examination revealed increased levels of inflammatory markers, and C. kefyr was detected in blood and urine cultures. She was treated with L-AMB and FLCZ and discharged in good general condition. In recent years, the frequency of isolation of non-albicans Candida spp. has increased, and the incidence of C. kefyr candidemia has increased worldwide. A search of the literature to the best of my ability failed to identify the number of cases reported in Japan, and many uncertainties remain as to the epidemiology and drug susceptibility; therefore, further study of a larger number of cases is necessary in the future.</p>
Journal
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- Kansenshogaku Zasshi
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Kansenshogaku Zasshi 97 (4), 141-145, 2023-07-20
The Japanese Association for Infectious Diseases
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Keywords
Details 詳細情報について
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- CRID
- 1390296829542465536
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- ISSN
- 1884569X
- 03875911
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
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- Abstract License Flag
- Disallowed