Abstract

SANCHEZ-BETANCOURT, Alfredo A.  and  SIBAJA-ALVAREZ, Pablo. Tertiary peritonitis due to Candida famata:Infection by an atypical yeast. Acta méd. costarric [online]. 2017, vol.59, n.1, pp.35-37. ISSN 0001-6002.

Candida famata is a halotoleran, vitamin B2 overproducing yeast that is rarely associated with infections in humans, but is commonly utilized in industrial processes. In our service, it had been detected only once before in a patient with mediastinitis. The outcome of that infection was fatal. Not only were we unfamiliar with the management of infection by this agent, but after performing a thorough literary review, we were unable to find published reports of infections by this pathogen as the cause of tertiary peritonitis. We report the case of a 37 year old male who after suffering a stab wound to his abdomen and having multiple complications associated with this event, developed tertiary peritonitis by C. famata, that was treated with casponfungin and an open abdomen utilizing negative pressure wound therapy with instillation which yielded a satisfactory response to the therapy. This report may be of use in the event that clinicians are confronted with this condition in the future.

Keywords : Non-albicans Candida species; Candida famata peritonitis; Tertiary fungal peritonitis.

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