Candida tropicalis cellulitis in a patient with cirrhosis, well-controlled HIV and diabetes

Andrea Gutiérrez Villanueva; Alberto Díaz de Santiago; Fernanado Martínez Vera; Sara De la Fuente Moral

doi:10.1136/bcr-2020-241539

Candida tropicalis cellulitis in a patient with cirrhosis, well-controlled HIV and diabetes

BMJ Case Rep. 2021 Oct 1;14(10):e241539. doi: 10.1136/bcr-2020-241539.

Authors

Andrea Gutiérrez Villanueva¹, Alberto Díaz de Santiago², Fernanado Martínez Vera¹, Sara De la Fuente Moral¹

Affiliations

¹ HIV Infection Unit, Internal Medicine Department, Hospital Universitario Puerta de Hierro Majadahonda, Majadahonda, Spain.
² HIV Infection Unit, Internal Medicine Department, Hospital Universitario Puerta de Hierro Majadahonda, Majadahonda, Spain ddsalbertorubio@hotmail.com.

Abstract

We present the case of a patient with multiple comorbidities, including cirrhosis, poorly controlled diabetes mellitus and HIV infection, who was diagnosed with skin and soft-tissue infection of right lower limb. Outcome was poor after prescribing standard antibiotic therapy, and we finally obtained isolation of Candida tropicalis in cultures of infected tissue. The patient's condition improved after antifungal treatment was started, and he could be discharged with oral therapy. Here, we report the literature's first case of cellulitis provoked by C. tropicalis in a patient with cirrhosis.

Keywords: HIV / AIDS; infections; infectious diseases.

Publication types

Case Reports

MeSH terms

Candida tropicalis
Cellulitis / drug therapy
Diabetes Mellitus*
HIV Infections* / complications
HIV Infections* / drug therapy
Humans
Liver Cirrhosis / complications
Male
Middle Aged