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Ishtiaq M. Ahmed
Ajay Gupta
Stephen C. Clark
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Ann Thorac Surg 2005;80:723-724
© 2005 The Society of Thoracic Surgeons

Case report

A Fatal Fungus

Ishtiaq M. Ahmed, MRCS a , Ajay Gupta, MRCS a , Kate Gould, FRCPath b , Stephen C. Clark, FRCS a , *

a Department of Cardiothoracic Surgery, Freeman Hospital, Newcastle Upon Tyne, England, United Kingdom
b Department of Microbiology, Freeman Hospital, Newcastle Upon Tyne, United Kingdom

Accepted for publication February 6, 2004.

* Address reprint requests to Dr Clark, Department of Cardiothoracic Surgery, Freeman Hospital, Freeman Rd, High Heaton, Newcastle Upon Tyne, NE7 7DN, UK (Email: stephen.clark{at}nuth.northy.nhs.uk).

We report the case of a 66-year-old man who presented with a prodromal type illness and pre-sternal swelling after having coronary artery bypass grafts 4 years earlier. Computed tomography showed that the mass had a retrosternal extension, to join a collection anterior to the right ventricle. Candida famata was isolated from operative specimens and he was treated with aggressive antifungal therapy. We believe that this is the first reported case of mediastinal Candida famata.




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