Candidal abscess of the parotid gland due to Candida glabrata: report of a case and literature review

Candidal abscess of the parotid gland due to Candida glabrata: report of a case and literature review
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DOI:
10.3109/13693780903176503
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发表时间:
2010-03-01
期刊:
影响因子:
2.9
通讯作者:
Hennequin, Christophe
Hennequin, Christophe
中科院分区:
医学3区
文献类型:
--
作者:
Enache-Angoulvant, Adela;Torti, Florinda;Hennequin, Christophe

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我们报告一位免疫能力强的女性发展为腮腺光滑念珠菌脓肿的病例,并回顾文献中类似的病例。诊断是基于从脓肿脓液中分离出纯培养的光滑念珠菌。对同一材料的染色涂片检查显示,酵母细胞体积较小,其中一些是巨噬细胞内的。局部引流联合口服氟康唑被证明是一种有效的治疗策略。念珠菌脓肿在免疫功能正常的患者中很少见,唾液腺定位只有5例报道。
We report the case of an immunocompetent woman who developed a Candida glabrata abscess of the parotid gland and present a review of similar cases from the literature. Diagnosis was based on the isolation of C. glabrata in pure culture from the abscess pus. Examination of stained smears of the same material demonstrated small sized yeast cells, some being intra-macrophagic. Combination of a local drainage and oral fluconazole proved to be an efficient therapeutic strategy. Candidal abscesses are rare in immunocompetent patients and salivary gland localization has only been reported in five cases.