In recent years, there has been an increase in the incidence of fungal infection, one of the opportunistic infections resulting from the use of broad spectrum antibiotics or anticancer agents, corticosteroids and immunosuppressive agents. Fungal sepsis is a frequent complication of severe underlying diseases, and has an extremely poor prognosis.
We have lately encountered seven cases of fungal sepsis. Five were complicated by DIC or MOF and terminated fatally, but the others were cured by treatment with an imidazole antifungal agent, miconazole. We present the two cured cases, and report the current status of fungal infection of ter surgery.
Of the two cured cases, one is a 69-year-old woman with advanced, inoperable gastric cancer who had suffered repeatedly from aspiration pneumonia and biliary tract infection. Another suffered from abdominal infection after surgery for gastric cancer. Both were medicated intermittently with antibiotics, before being attacked by remittent fever exceeding 39°C.
C. tropicalis was isolated from blood cultures. After the patients were given miconazole, the temperature returned to normal in 3 days, and blood cultures turned negative.
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