Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Insidious Onset Multifocal Chest Wall and Spinal Abscess Caused by Previous Candidemia: A Case Report

칸디다혈증 이후 잠행성으로 발생한 다발성 흉벽 및 척추 농양: 증례 보고

  • Da Eun Kwon (Department of Radiology, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Song Soo Kim (Department of Radiology, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Shinhye Cheon (Division of Infectious Diseases, Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Jin Hwan Kim (Department of Radiology, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Hyeyoung Kwon (Department of Radiology, Chungnam National University Hospital, Chungnam National University School of Medicine)
  • 권다은 (충남대학교 의과대학 충남대학교병원 영상의학과) ;
  • 김성수 (충남대학교 의과대학 충남대학교병원 영상의학과) ;
  • 천신혜 (충남대학교 의과대학 충남대학교병원 감염내과) ;
  • 김진환 (충남대학교 의과대학 충남대학교병원 영상의학과) ;
  • 권혜영 (충남대학교 의과대학 충남대학교병원 영상의학과)
  • Received : 2022.10.13
  • Accepted : 2023.02.08
  • Published : 2023.09.01
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Abstract

Abscess formation due to Candida albicans infection is extremely rare. Radiological diagnosis of an atypical abscess at an uncommon site is challenging. In this study, we present a case of insidious onset multifocal chest wall and spinal abscess after candidemia in a young woman in the intensive care unit due to postpartum bleeding.

Candida albicans 감염에 의한 농양 형성은 매우 드물며, 흔하지 않은 위치에 비 전형적인 형태로 관찰되는 경우, 영상의학적 진단을 내리기가 쉽지 않다. 저자들은 산후출혈로 집중치료실에 입원하여 칸디다혈증 진단 후 치료를 받고 퇴원했던 젊은 여성에서, 잠행성으로 발생한 다발성의 Candida albicans 흉벽 및 척추 농양 증례에 대해 보고하고자 한다.

Keywords

References

  1. Sakran W, Bisharat N. Primary chest wall abscess caused by Escherichia coli costochondritis. Am J Med Sci 2011;342:241-246 https://doi.org/10.1097/MAJ.0b013e31821bc1b0
  2. Yoshihara H, Kurihara I, Hori H, Fukuchi T, Sugawara H. Subcutaneous chest abscess caused by Candida albicans infection following laparoscopic cholecystectomy in an immunocompetent patient: a case report. Cureus 2022;14:e24573
  3. Mansour J, Raptis D, Bhalla S, Heeger AP, Abbott GF, Parkar N, et al. Diagnostic and imaging approaches to chest wall lesions. Radiographics 2022;42:359-378 https://doi.org/10.1148/rg.210095
  4. Hankovszky P, Tarsy D, Oveges N, Molnar Z. Invasive Candida infections in the ICU: diagnosis and therapy. J Crit Care Med (Targu Mures) 2015;1:129-139 https://doi.org/10.1515/jccm-2015-0025
  5. Yoo H, Chung CS, Jung SW, Moh IH, Song W, Lee J. A case of delayed onset chest wall abscess after candidemia. Infect Chemother 2012;44:188-192 https://doi.org/10.3947/ic.2012.44.3.188
  6. Ontell FK, Moore EH, Shepard JA, Shelton DK. The costal cartilages in health and disease. Radiographics 1997;17:571-577 https://doi.org/10.1148/radiographics.17.3.9153697
  7. Gamaletsou MN, Kontoyiannis DP, Sipsas NV, Moriyama B, Alexander E, Roilides E, et al. Candida osteomyelitis: analysis of 207 pediatric and adult cases (1970-2011). Clin Infect Dis 2012;55:1338-1351 https://doi.org/10.1093/cid/cis660
  8. Moyano-Bueno D, Blanco JF, Lopez-Bernus A, Gutierrez-Zubiaurre N, Gomez Ruiz V, Velasco-Tirado V, et al. Cold abscess of the chest wall: a diagnostic challenge. Int J Infect Dis 2019;85:108-110 https://doi.org/10.1016/j.ijid.2019.05.031
  9. Boruah DK, Sanyal S, Sharma BK, Prakash A, Dhingani DD, Bora K. Role of cross sectional imaging in isolated chest wall tuberculosis. J Clin Diagn Res 2017;11:TC01-TC06 https://doi.org/10.7860/JCDR/2017/23522.9185
  10. Lee SW, Lee SH, Chung HW, Kim MJ, Seo MJ, Shin MJ. Candida spondylitis: comparison of MRI findings with bacterial and tuberculous causes. AJR Am J Roentgenol 2013;201:872-877 https://doi.org/10.2214/AJR.12.10344