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Candida pneumonia

Up Candida laryngitis Candida peritonitis Candida pneumonia Candiduria in critically ill Prophylaxis

Updated August 2009 by Charles Gomersall

  • Primary Candida pneumonia (ie isolated lung infection) is uncommon
    • tends to occur after aspiration of oropharyngeal material
    • definitive diagnosis requires histological confirmation
  • More commonly pulmonary lesions are only one manifestation of disseminated candidiasis
  • Even more common is benign colonization of the airway with Candida.
  • Treatment:
    • primary Candida pneumonia: amphotericin B 0.7-1 mg/kg/day
    • disseminated candidiasis: treatment should be directed to treatment of disseminated disease rather than Candida pneumonia per se.
    • colonization should not be treated

Further reading

Pappas PG. Guidelines for treatment of candidiasis. Clin Infect Dis 2004; 38:161-89

©Charles Gomersall, April, 2014 unless otherwise stated. The author, editor and The Chinese University of Hong Kong take no responsibility for any adverse event resulting from the use of this webpage.
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