A Case of Psoas Abscess Caused by Candida glabrata

Mi Kim; Jacob Lee; Chang Su Chung; Joo Hyun Jang; Byung Moo Ahn; Wonkeun Song

doi:10.3947/ic.2010.42.1.43

Journal List > Infect Chemother > v.42(1) > 1035053

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Kim, Lee, Chung, Jang, Ahn, and Song: A Case of Psoas Abscess Caused by Candida glabrata

Case Report

Infection & Chemotherapy

Infection & Chemotherapy 2010; 42(1): 43-47.

Published online: 28 February 2010

DOI: https://doi.org/10.3947/ic.2010.42.1.43

A Case of Psoas Abscess Caused by Candida glabrata

Mi Kim¹, Jacob Lee¹, Chang Su Chung¹, Joo Hyun Jang¹, Byung Moo Ahn¹, Wonkeun Song²

¹Division of Infectious Disease, Department of Internal Medicine, College of Medicine, Hallym University, Seoul, Korea.

²Department of Laboratory Medicine, College of Medicine, Hallym University, Seoul, Korea.

Corresponding Author: Jacob Lee, M.D. Division of Infectious Disease, Department of Internal Medicine, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University, 948-1, Daerim-1 dong, Yeongdeungpo-gu, Seoul, 150-950, Korea. Tel: +82-2-829-5441, Fax: +82-2-829-4469, litjacob@chol.com

Received 25 March 2009 Accepted 21 September 2009

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Infections due to Candida species are becoming more frequent in several patient population and settings. The proportion of non-albicans Candida spp. causing candidemia has increased during the recent decades. Especially, fungaemia due to Candida glabrata has reduced susceptibility to azoles. We report a case of iliopsoas abscess caused by Candida glabrata. A 51-year-old male diabetic patient was admitted with fever and both hip joint pain. Abdominal CT scan revealed huge left iliopsoas intramuscular abscess and left perinephric abscess. The abscess was drained percutaneously. Cultures of the pus were positive for Candida glabrata. The patient's condition improved after abscess drainage and was discharged with oral antifungal agent.

Keywords: Candida glabrata, Psoas abscess, Amphotericin B, Voriconazole

Figures and Tables

Figure 1

Contrast-enhanced CT scan shows a huge left iliopsoas intramuscular abscess (30 cm) and left perinephric abscess (10.4 cm) (A, B).

Figure 2

Contrast-enhanced CT scan shows improved left perinephric abscess (A, C) and newly developed multiple abscess on anterior aspect of the left upper leg (B, D) after fluconazole therapy.

Figure 3

Contrast-enhanced CT scan shows improved left perinephric abscess and left iliopsoas intramuscular abscess after amphotericin B therapy (A-D).

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