Non-Albicans Candida Necrotizing Fasciitis After Gynecology Oncology Surgery

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Yousefi Maryam; Yarandi Fariba; Shirali Elham; Rajabzadeh Shahab; Nazemi Pershang

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Journal Paper

Paper Information

Journal: JOURNAL OF OBSTETRICS GYNECOLOGY AND CANCER RESEARCH Year:2025 | Volume:10 | Issue:4 Page(s): 339-343

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Information Journal Paper

Title

Non-Albicans Candida Necrotizing Fasciitis After Gynecology Oncology Surgery

Author(s)

Keywords

Invasive fungal infections

Fasciitis

Necrotizing

Cross Infection

Abstract

Necrotizing fasciitis, a rare and potentially lethal infection, is characterized by rapid and progressive involvement of the fascia and subcutaneous tissues. Here, we reported a 55-year-old woman with a history of recent surgery with complaints of erythema and foul-smelling discharge from the surgical incision site. The surgical incision site was opened, and cleaned with a sizable sterile normal saline, and the patient underwent ceftazidime, levofloxacin, metronidazole, and vancomycin. According to the results of microbiological cultures, non-albicans candida and its resistance to fluconazole, caspofungin, were substituted. However, necrotizing fasciitis increased. The rapid recognition, aggressive surgical intervention, and targeted antimicrobial therapy collectively played a pivotal role in successful recovery. The rapid recognition, aggressive surgical intervention, and targeted antimicrobial therapy collectively played a pivotal role in successful recovery. This case underscores the importance of vigilance in monitoring postoperative patients, particularly those with risk factors, and highlights the need for a multidisciplinary approach.

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