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Invasive para-aortic Candida glabrata: a multidisciplinary management challenge
  1. Robert Miller1,
  2. Susie Harris2,
  3. Robert Porter3 and
  4. Hannah Burnett4
  1. 1General Medicine, Royal Devon and Exeter Hospital, Exeter, UK
  2. 2Geriatrics, Royal Devon and Exeter Hospital, Exeter, UK
  3. 3Microbiology, Royal Devon and Exeter Hospital, Exeter, UK
  4. 4Pharmacy, Royal Devon and Exeter Hospital, Exeter, UK
  1. Correspondence to Dr Robert Miller; robmiller{at}


A 69-year-old man was admitted with recurrent fungal bloodstream infection on a background of abdominal aneurysm, diabetes and chronic obstructive pulmonary disease. Investigations revealed a para-aortic mass, previously thought to be lymphoma, which was culture positive for Candida glabrata on biopsy. Diagnosis and management involved multidisciplinary teamwork, diagnostic uncertainty and significant risk taking.

  • infections
  • long term care
  • drugs: infectious diseases
  • nosocomial infections
  • vascular surgery

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  • Contributors Supervised by SH. Patient was under the care of SH. Additionally, RP, HB and RM were involved in the care of this patient. Perspective and review were provided by SH, RP and HB. Report was written by RM.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.