Fluconazole combined with pericardiotomy and drainage can successfully treat Candida tropicalis pericarditis following sternotomy.
May support fluconazole after drainage in rare Candida pericarditis; leaves open need for prospective validation.
A 34-year-old man who was stabbed in the chest, underwent emergency sternotomy. Sternal dehiscence with pericardial tamponade developed by the 16th postoperative day. Pericardiotomy with drainage was performed and cultures of pericardial fluid yielded Candida tropicalis. The patient was treated successfully with fluconazole.
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Kok et al. (2000) studied this question.
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