KIKUCHI Ken
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Professor
Article types Case report
Language English
Peer review Peer reviewed
Title Candidemia Diagnosed from Peripheral Blood Smear: Case Report and Review of Literature 1954-2013.
Journal Formal name:Mycopathologia
Abbreviation:Mycopathologia
ISSN code:(1573-0832)0301-486X(Linking)
Domestic / ForeginForegin
Volume, Issue, Page 180(1-2),pp.111-6
Author and coauthor Hirai Yuji, Asahata Sayaka, Ainoda Yusuke, Fujita Takahiro, Miura Hitomi, Hizuka Naomi, Kikuchi Ken
Authorship Last author
Publication date 2015/08
Summary 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