Kansenshogaku Zasshi
Online ISSN : 1884-569X
Print ISSN : 0387-5911
ISSN-L : 0387-5911
Review of Clinical Course of 51 Fungemia
Taisuke ISOZAKIShinichi OKAMakiko FUKAYAMAKyoko URAYAMATakashi INAMATSU
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1986 Volume 60 Issue 8 Pages 829-833

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Abstract

The records of 51 fungemia in aged patients at Tokyo Metropolitan Geriatric Hospital from 1972 through 1985 were reviewed. All cases were monomicrobial fungemia. Major funji isolated from the blood were Candida albicans (33.3%), Candida tropicalis (27.5%), and Candida glabrata (23.5%). Ninety eight per cent of them were Candida species. The predominant risk factors associated with fungemia were prior antibiotic therapy (88.2%), Foley catheter (64.7%), intravenous catheter (47.1%), anti cancer therapy (11.8%), adrenal corticosteroid administration (7.8%), and irradiation (5.9%). Major underlying diseases were longstanding bedridden state associated with cerebrovascular diseases (13 cases, 25.5%), solid tumor (14 cases, 27.5%), and haematological malignancies (4 cases, 7.8%). Tissue invasion by Candida albicans was found in two of 28 patients who died within a month after the isolation. The overall mortality rate was 61%.

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© The Japansese Association for Infectious Diseases
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