Recurrent Candida albicans Ventriculitis Treated with Intraventricular Liposomal Amphotericin B

Central nervous system (CNS) infection with Candida is rare but significant because of its high morbidity and mortality. When present, it is commonly seen among immunocompromised and hospitalized patients. Herein, we describe a case of a four-year-old boy with acute lymphoblastic leukemia (ALL) wh...

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Main Authors: Demet Toprak, Sevliya Öcal Demir, Eda Kepenekli Kadayifci, Özden Türel, Ahmet Soysal, Mustafa Bakir
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2015/340725
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author Demet Toprak
Sevliya Öcal Demir
Eda Kepenekli Kadayifci
Özden Türel
Ahmet Soysal
Mustafa Bakir
author_facet Demet Toprak
Sevliya Öcal Demir
Eda Kepenekli Kadayifci
Özden Türel
Ahmet Soysal
Mustafa Bakir
author_sort Demet Toprak
collection DOAJ
description Central nervous system (CNS) infection with Candida is rare but significant because of its high morbidity and mortality. When present, it is commonly seen among immunocompromised and hospitalized patients. Herein, we describe a case of a four-year-old boy with acute lymphoblastic leukemia (ALL) who experienced recurrent Candida albicans meningitis. The patient was treated successfully with intravenous liposomal amphotericin B at first attack, but 25 days after discharge he was readmitted to hospital with symptoms of meningitis. Candida albicans was grown in CFS culture again and cranial magnetic resonance imaging (MRI) showed ventriculitis. We administered liposomal amphotericin B both intravenously and intraventricularly and favorable result was achieved without any adverse effects. Intraventricular amphotericin B may be considered for the treatment of recurrent CNS Candida infections in addition to intravenous administration.
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institution Kabale University
issn 2090-6625
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language English
publishDate 2015-01-01
publisher Wiley
record_format Article
series Case Reports in Infectious Diseases
spelling doaj-art-111626bd6d3d41189a0d28ee5fea47322025-02-03T00:59:09ZengWileyCase Reports in Infectious Diseases2090-66252090-66332015-01-01201510.1155/2015/340725340725Recurrent Candida albicans Ventriculitis Treated with Intraventricular Liposomal Amphotericin BDemet Toprak0Sevliya Öcal Demir1Eda Kepenekli Kadayifci2Özden Türel3Ahmet Soysal4Mustafa Bakir5Department of Pediatrics, Marmara University School of Medicine, 3500 Istanbul, TurkeyDepartment of Pediatrics, Marmara University School of Medicine, 3500 Istanbul, TurkeyDepartment of Pediatrics, Marmara University School of Medicine, 3500 Istanbul, TurkeyDepartment of Pediatrics, Marmara University School of Medicine, 3500 Istanbul, TurkeyDepartment of Pediatrics, Marmara University School of Medicine, 3500 Istanbul, TurkeyDepartment of Pediatrics, Marmara University School of Medicine, 3500 Istanbul, TurkeyCentral nervous system (CNS) infection with Candida is rare but significant because of its high morbidity and mortality. When present, it is commonly seen among immunocompromised and hospitalized patients. Herein, we describe a case of a four-year-old boy with acute lymphoblastic leukemia (ALL) who experienced recurrent Candida albicans meningitis. The patient was treated successfully with intravenous liposomal amphotericin B at first attack, but 25 days after discharge he was readmitted to hospital with symptoms of meningitis. Candida albicans was grown in CFS culture again and cranial magnetic resonance imaging (MRI) showed ventriculitis. We administered liposomal amphotericin B both intravenously and intraventricularly and favorable result was achieved without any adverse effects. Intraventricular amphotericin B may be considered for the treatment of recurrent CNS Candida infections in addition to intravenous administration.http://dx.doi.org/10.1155/2015/340725
spellingShingle Demet Toprak
Sevliya Öcal Demir
Eda Kepenekli Kadayifci
Özden Türel
Ahmet Soysal
Mustafa Bakir
Recurrent Candida albicans Ventriculitis Treated with Intraventricular Liposomal Amphotericin B
Case Reports in Infectious Diseases
title Recurrent Candida albicans Ventriculitis Treated with Intraventricular Liposomal Amphotericin B
title_full Recurrent Candida albicans Ventriculitis Treated with Intraventricular Liposomal Amphotericin B
title_fullStr Recurrent Candida albicans Ventriculitis Treated with Intraventricular Liposomal Amphotericin B
title_full_unstemmed Recurrent Candida albicans Ventriculitis Treated with Intraventricular Liposomal Amphotericin B
title_short Recurrent Candida albicans Ventriculitis Treated with Intraventricular Liposomal Amphotericin B
title_sort recurrent candida albicans ventriculitis treated with intraventricular liposomal amphotericin b
url http://dx.doi.org/10.1155/2015/340725
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