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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2023.6
- 수록면
- 167 - 171 (5page)
- DOI
- 10.14192/kjicp.2023.28.1.167
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초록· 키워드
오류제보하기
Candida auris (C. auris) is a pathogen that causes severe infections, particularly in healthcare settings, and is resistant to common antifungal agents, leading to a global public health threat. Infections of the cavernous sinus are rare but potentially fatal. We report a rare case of cavernous sinus infection caused by drug-resistant C. auris. A 60-year-old woman with chronic otitis media underwent a mastoidectomy and tympanoplasty. The patient developed a surgical site infection with methicillin-resistant Staphylococcus aureus after the surgery, which improved with antibiotic treatment. However, she developed purulent otorrhea, ear pain, and a limitation of eye movement. Cultures of ear discharge repeatedly identified C. auris, and brain magnetic resonance imaging (MRI) findings were consistent with the presence of cavernous sinus infection and pachymeningitis. Therefore, amphotericin B and micafungin combination therapy was initiated for the C. auris infection. The patient showed no clinical improvement despite combination therapy with amphotericin B and micafungin; therefore, flucytosine was added to the treatment regimen. Symptoms improved after the triple-agent combination therapy, and a follow-up MRI showed improvement in the cavernous sinus infection and pachymeningitis.
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