Biologic mesh infection with Candida albicans after abdominal wall reconstruction with calcium sulphate antibiotic beads: A case report

Kelly Brennan; Pooja Patel; Ashley Drohan; Samuel Minor

doi:10.1016/j.idcr.2021.e01351

Biologic mesh infection with Candida albicans after abdominal wall reconstruction with calcium sulphate antibiotic beads: A case report

IDCases. 2021 Nov 24:26:e01351. doi: 10.1016/j.idcr.2021.e01351. eCollection 2021.

Authors

Kelly Brennan¹, Pooja Patel², Ashley Drohan², Samuel Minor²

Affiliations

¹ Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
² Department of General Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.

Abstract

Mesh infection after abdominal wall reconstruction is a rare and usually devastating complication. Herein, we describe a unique case of a delayed and non-lethal Candida albicans mesh infection after abdominal wall reconstruction with placement of a biologic graft impregnated with antibiotics. Mesh explantation was not required, and the wound healed by secondary intention. This work suggests that locally delivered antibiotics may change the culprit microbes of skin infections to more unusual species such as Candida spp. Future research is required to study the effect of including antifungal agents in the locally delivered antimicrobials for abdominal wall reconstructions with biological meshes.

Keywords: Abdominal wall reconstruction; Candida spp. infection.; Mesh infection.

Publication types

Case Reports