Perianal scrotal necrotizing fasciitis combined with pyomyositis caused by Candida spp.:a case report
10.12138/j.issn.1671-9638.20246297
- VernacularTitle:念珠菌属引起肛周阴囊部坏死性筋膜炎合并化脓性肌炎1例
- Author:
Xue-Li XU
1
;
Zuo-Wu XI
;
Yan-Yan WANG
;
Qiong-Ge ZHOU
;
Ke-Xin DENG
Author Information
1. 河南中医药大学第二临床医学院,河南 郑州 450046
- Keywords:
Candida spp.;
necrotizing fasciitis;
pyomyositis;
infection;
Candida albicans
- From:
Chinese Journal of Infection Control
2024;23(11):1445-1449
- CountryChina
- Language:Chinese
-
Abstract:
The patient,a 42-year-old male,with a history of hepatitis B and membranous nephropathy,had inter-mittent fever and chills 12 days before admission.In the first 2 days after admission,the patient's condition aggra-vated with redness,swelling and pain in the left scrotum and perineum.Immediate surgical debridement was per-formed.The patient had a persistent low fever,with blood and pus cultures showing Candida albicans positive,thus was diagnosed fungal necrotizing fasciitis and pyomyositis.The patient was treated with echinocandins mica-fungin(150 mg,qd)for antifungal infection,and was given encroaching dressing change,hyperbaric oxygen thera-py,nutritional support,etc.Two months after surgery,the patient's condition improved and he was discharged.The early clinical symptoms of necrotizing fasciitis and pyomyositis caused by Streptococcus spp.infection lack spe-cificity,thus are prone to be delayed.For patients with concomitant immune diseases,attention should be paid to the prevention and early treatment of complex infection.The appropriate selection of empirical antifungal agents at the early stage has clinical significance.
