A rare case of acute pancreatitis caused by Candida Albicans.
We experienced a rare case of acute pancreatitis caused by Candida infection. A 52-year-old man was admitted to our hospital with a chief complaint of abdominal pain. Blood tests revealed high amylase and hepatobiliary enzyme abnormalities, and the patient was hospitalized for acute pancreatitis. Abdominal computed tomography showed a 15-mm space-occupying lesion at the parenchyma of the pancreatic head. Endoscopic retrograde cholangiopancreatography was performed after conservative treatment, which revealed a cystic lesion with a suspected solid component inside involving both lower bile duct and pancreatic duct. Cytology of collected bile and pancreatic juice revealed innumerous hyphae and spores morphologically consistent with Candida spp., as did endoscopic ultrasound-guided fine needle aspiration biopsy of the tumor site. Empiric therapy with oral fluconazole resulted in reduction of the space-occupying lesion 3 months after discharge. However, acute pancreatitis recurred about 1 year and 6 months after discharge. After conservative treatment was carried out again, the same lesion was fenestrated by endoscopic sphincteroplasty, and its internal solid components were resected using a basket catheter. Pathological analysis confirmed the presence of fungus balls and degenerated substances. Candida Albicans was identified by fungal culture examination. After the excretion of the fungus balls, pancreatitis did not recur thereafter during outpatient follow-up.
['Tange|Kazuhiro|K|', 'Yokota|Tomoyuki|T|', 'Sunago|Kotaro|K|', 'Aono|Michiko|M|', 'Ochi|Hironori|H|', 'Takechi|Shunji|S|', 'Mashiba|Toshie|T|', 'Hida|Akira Iino|AI|', 'Oshiro|Yumi|Y|', 'Joko|Kouji|K|', 'Kumagi|Teru|T|http://orcid.org/0000-0002-2292-7750', 'Hiasa|Yoichi|Y|']
D015746:Abdominal Pain D000208:Acute Disease D000935:Antifungal Agents D002176:Candida albicans D002177:Candidiasis D003131:Combined Modality Therapy D003937:Diagnosis, Differential D016145:Endoscopy, Digestive System D015725:Fluconazole D006801:Humans D008297:Male D008875:Middle Aged D010195:Pancreatitis D012008:Recurrence
Acute pancreatitis Candida Albicans Fungus ball