ヒライ ユウジ
  平井 由児
   所属   医学部 医学科(東京女子医科大学病院)
   職種   非常勤講師
論文種別 症例報告
言語種別 英語
査読の有無 査読有り
表題 Candidemia Diagnosed from Peripheral Blood Smear: Case Report and Review of Literature 1954-2013.
掲載誌名 正式名:Mycopathologia
略  称:Mycopathologia
ISSNコード:(1573-0832)0301-486X(Linking)
掲載区分国外
巻・号・頁 180(1-2),111-6頁
著者・共著者 Hirai Yuji, Asahata Sayaka, Ainoda Yusuke, Fujita Takahiro, Miura Hitomi, Hizuka Naomi, Kikuchi Ken
発行年月 2015/08
概要 We analysed 36 cases including the present case. Almost all CPBS patients (96.5 %, n = 29) were using an intravenous catheter. The most frequently isolated species was C. parapsilosis (35.1 %), followed by C. albicans (29.7 %). The overall mortality rate was 53.6 % (n = 28). The time from the discovery of yeast-like pathogens using peripheral blood smears to death ranged from a few hours to 93 days (median 19 days). The present results suggest that intravenous catheter use and the underlying conditions of patients are responsible for CPBSs. The detection of yeast in peripheral blood smears suggests advanced infections with uncontrollable complications, which means a poor prognosis. Rapid detection methods besides blood culture are needed.
DOI 10.1007/s11046-015-9884-3
PMID 25851027