Table 1. Characteristics of patients with postmortem candidemia.
The results of microbiology and postmortem histology are included. Patients 14 and 15 and 19–23 had “yeasts not Candida albicans or Cryptococcus,” i.e., synonymous with Candida species not albicans.
| Case | Age/Sex | Heart blood culture | Risk for disseminated candidiasis | Results of histological examination |
|---|---|---|---|---|
| 1 | 3/F | C. krusei; Enterococcus | AL; neutropenia | pseudo-membraneous colitis with invading yeasts |
| 2 | 75/M | C. albicans; Enterococcus; Xanthomonas | AL; neutropenia | |
| 3 | 70/F | C. albicans; S. aureus | perforated viscus; peritonitis | GMS: yeasts and filamentous forms perforating through the serosa |
| 4 | 72/F | C. albicans | peritonitis | yeasts in gastric wall and peritoneum |
| 5 | 68/M | C. albicans | ruptured abdominal aorta; sepsis; abdominal surgery | GMS: yeasts and pseudohyphae in spleen |
| 6 | 79/M | C. albicans | surgical repair of ruptured thoracic and abdominal aorta | |
| 7 | 90/M | C. albicans | thoracic and abdominal aortic repair; necrotic colon; colectomy; DIC | |
| 8 | Still born/F | C. glabrata | prematurity | |
| 9 | 4 days/F | C. albicans | high-risk twin; DIC; neonatal ICU for 4 days | |
| 10 | 5 mon ths/F | C. albicans; CNS | ischemic bowel; 75% removed | |
| 11 | 61/F | C. pseudo-tropicalis and C. krusei | widespread carcinomatosis of peritoneum; ascites; sepsis | |
| 12 | 54/F | C. albicans | diabetes; G.I. hemorrhage; pneumonia | |
| 13 | 65/F | C. albicans | severe C. difficile colitis; pneumonia | |
| 14 | 86/F | yeast; CNS | dead bowel; colectomy; abdominal surgery | GMS: yeasts and pseudohyphae in spleen |
| 15 | 75/F | yeast | G.I. ulcerations; pneumonia | GMS: yeasts and pseudohyphae in spleen |
| 16 | 50/F | C. glabrata | ESRD; gangrene of leg; pneumonia | lung abscess with yeasts in lung and vascular tissue |
| 17 | 52/M | C. glabrata | OHT; recurrent pneumonias | |
| 18 | 88/F | C. glabrata | pneumonia | |
| 19 | 73/M | yeast; CNS | AL; neutropenia; pneumonia | |
| 20 | 58/F | yeast; Enterococcus | peritonitis | yeasts in muscle and bowel |
| 21 | 72/F | yeast; CNS | metastatic pancreatic cancer | |
| 22 | 90/M | yeast | aspiration pneumonia; C. difficile colitis; ESRD | |
| 23 | 23/F | yeast | BMT; pneumonia |
Abbreviations: G.I: gastrointestinal; BMT: bone marrow transplant; OHT: orthotopic heart transplant; CNS: coagulase-negative Staphylococcus; AL: acute leukemia; DIC: disseminated intravascular coagulation; ICU: intensive care unit; ESRD: end stage renal disease; GMS: Gomori methenamine silver stain.