Isolation of Candida Species is an Important Clue for Suspecting Gastrointestinal Tract Perforation as a Cause of Empyema
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概要
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Background Empyema due to Candida species is a rare entity, and the significance of isolation of Candida species from the pleural effusion is not fully understood. Objective To elucidate the clinical features of Candida empyema. Methods We retrospectively reviewed the cases of 128 patients with culture-positive empyema. Results These 128 patients included 7 whose cause of empyema was esophago- or gastropleural fistula. Empyema was due to Candida species in 5 of the 7 patients. Primary diseases of these 5 patients were spontaneous esophageal rupture in 3 patients, esophageal rupture due to lung cancer invasion in 1 patient, and gastric ulcer perforation in 1 patient. None of these 5 patients had esophageal candidiasis. Among the 121 other patients with empyema not due to esophago- or gastropleural fistula, no patient had empyema due to Candida. Conclusion We believe that the empyema in these 5 patients was caused by normal commensal Candida species entering the pleural cavity when the fistula between the gastrointestinal tract and pleural cavity was formed. Isolation of Candida species can be an important clue for suspecting gastrointestinal tract perforation as a cause of empyema.
著者
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Takayanagi Noboru
Department Of Respiratory Medicine Saitama Cardiovascular And Respiratory Center
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YANAGISAWA Tsutomu
Department of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center
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Yanagisawa Tsutomu
Department Of Respiratory Medicine Saitama Cardiovascular And Respiratory Center
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Hoshi Eishin
Department Of Chest Surgery Saitama Cardiovascular And Respiratory Center
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Ikeya Tomohiko
Department Of Chest Surgery Saitama Cardiovascular And Respiratory Center
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Yoshioka Hiroaki
Department of Frontier Materials Chemistry, Faculty of Science and Technology, Hirosaki University
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HOSHI Toshiko
Department of Radiology, Saitama Cardiovascular and Respiratory Center
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Kawabata Yoshinori
Department Of Thoracic Surgery And Pathology Saitama Cardiovascular And Respiratory Center
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Sugita Yutaka
Department Of Respiratory Medicine Saitama Cardiovascular And Respiratory Center
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Hoshi Toshiko
Department Of Radiology Saitama Cardiovascular And Respiratory Center
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Ishiguro Takashi
Department Of 2nd Physiology Showa University School Of Medicine
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TAKAYANAGI Noboru
Department of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center
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Ishiguro Takashi
Department of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center
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Ikeya Tomohiko
Department of Thoracic Surgery, Saitama Cardiovascular and Respiratory Center
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Kawabata Yoshinori
Department of Pathology, Saitama Cardiovascular and Respiratory Center
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