Korean J Med.  2009 Aug;77(2):251-254.

A case of candidemia due to Candida guilliermondii after taking diet pills

Affiliations
  • 1Department of Internal Medicine, Gyeongsang National University School of Medicine, Jinju, Korea. cadevar@yahoo.co.kr
  • 2Department of Laboratory Medicine, Gyeongsang National University School of Medicine, Jinju, Korea.
  • 3Department of Gyeongsang Institute of HealthSciences, Gyeongsang National University School of Medicine, Jinju, Korea.
  • 4Department of Molecular Cell Biology, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 5Asian-Pacific Research Foundation for Infectious Diseases (ARFID), Seoul, Korea.

Abstract

Candida guilliermondii is found in sea water, animal feces, buttermilk, and beer and has been isolated from human infections, mostly of cutaneous origin. It usually causes skin and soft tissue infections and has decreased susceptibility to fluconazole. Systemic infections occur mostly in immunocompromised patients. A 38-year-old female was admitted with a 4-day fever. Her medical and family histories were unremarkable, except for obesity. She had been taking diet pills for 3 months and had undergone injection therapy into her abdomen for lipolysis for 1 month. She did not respond to empirical antibiotics. A Candida species was isolated from blood cultures and identified as C. guilliermondii based on partial LSU rRNA gene sequence analyses. She was treated with amphotericin B, and recovered completely.

Keyword

Candida guilliermondii; Obesity; Diet pills; Amphotericin B

MeSH Terms

Abdomen
Adult
Amphotericin B
Animals
Anti-Bacterial Agents
Beer
Candida
Candidemia
Cultured Milk Products
Diet
Feces
Female
Fever
Fluconazole
Genes, rRNA
Humans
Immunocompromised Host
Lipolysis
Obesity
Seawater
Sequence Analysis
Skin
Soft Tissue Infections
Amphotericin B
Anti-Bacterial Agents
Fluconazole
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