Key result
Early diagnosis and combined medical and surgical treatment of Candida pericarditis resulted in cure and a favorable prognosis in a healthy patient.
Case Report (n=1)
This case demonstrates that Candida pericarditis can occur in immunocompetent hosts without prior thoracic surgery and can be cured with early diagnosis and combined medical-surgical treatment.
May prompt fungal evaluation in atypical pericarditis; leaves open need for prospective data on management.
Candida pericarditis is a rare disease described mostly in patients with recent cardiothoracic surgery or debilitating chronic diseases and is generally considered to be associated with high mortality. To our knowledge, we report the first case of Candida pericarditis in a healthy host who had not undergone thoracic surgery and the first documented case and cure of pericarditis caused by C. glabrata. The most probable underlying factor in the development of this pericarditis was the abdominal surgery the patient underwent to correct a gastrogastric fistula, without an intraabdominal leak, which developed 10 y after surgical gastric stapling for weight reduction. The literature on Candida pericarditis is reviewed. If Candida pericarditis is diagnosed early and treated with a combined medical and surgical approach, the prognosis today is much more favorable than that previously reported.
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Neughebauer et al. (2002) conducted a case report in Candida pericarditis (n=1). Combined medical and surgical approach was evaluated on Cure. Early diagnosis and combined medical and surgical treatment of Candida pericarditis resulted in cure and a favorable prognosis in a healthy patient.
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