A Case of Candida-Associated Intestinal Perforation in a 16-Month Old Child: A Rare Complication of Gastroenteritis with Fatal Outcome
Journal Title: International Journal of Current Science Research and Review - Year 2024, Vol 7, Issue 12
Abstract
Introduction: Acute gastroenteritis (AGE) remains a leading cause of childhood morbidity and mortality worldwide, predominantly caused by viral, bacterial, or protozoal infections. However, rarely, AGE can be caused by fungus and can result in severe complications, such as intestinal perforation. We report a rare case in a preschool aged child with fatal outcome. Case presentation: This case report describes a 16-month-old Nigerian girl presenting with acute watery diarrhea, vomiting, and fever. Despite supportive management, including fluid resuscitation, antibiotics, and probiotics, her condition deteriorated, with progressive abdominal distension and desaturation. Abdominal X-ray revealed intestinal perforation, and stool culture identified Candida species as the etiologic agent. Unfortunately, delayed antifungal therapy and surgical intervention led to a fatal outcome. Conclusion: This case highlights Candida as a rare but life-threatening cause of intestinal perforation in immunocompetent children. It underscores the importance of early diagnosis identification and judicious use of antimotility agents in managing AGE. Clinicians should maintain a high index of suspicion for fungal gastroenteritis in cases of persistent or worsening symptoms.
Authors and Affiliations
Ubogun Ogheneakpobor Efe, Ntugba Joy Chidinma, Adigwe Augustina Chinaza, Reuben Stephen Oghenevwede,
Improving Work Rehabilitation Program at PT. KALPRI
The work rehabilitation program is one of the important efforts made by the company to help employees who are experiencing health conditions that disrupt work productivity to return to work optimally at PT. KALPRI, there...
Evaluating Software-Based Methods for Replacing Manual Collection of Midnight Totals: A Study from Sri Lanka
The manual collection of midnight totals in hospitals has long been used to calculate key performance indicators such as bed occupancy rates. Despite technological advancements, many hospitals still rely on labour-intens...
Decision Analysis to Find Best Solution of Operation and Maintenance Management System in Central Processing Plant (CPP) Gundih Using The SMART Method at PT. Pertamina EP
Central Processing Plant (CPP) Gundih is a gas field owned by PT. Pertamina EP Cepu Field area which is located in Blora Regency, Central Java. The gas produced by the CPP Gundih is channelled to the Tambak Lorok Gas and...
Pathological Study of Rare Case of Duodenal Leiomyosarcoma in a Labrador Dog
The leiomyosarcoma is a tumor of mesenchymal origin of smooth, malignant, slow-growing muscles. The present study reports a case of duodenal leiomyosarcoma in Labrador dog. A 6 year old black female Labrador dog with his...
Global Stability Study of a Reinforced Concrete Building: Comparison between Grid and Space Frame Model with an Integrated Model
The verticalization in large urban centers has provided a series of new challenges for large buildings designers. The slender the structures are, more susceptible they are to second-order global efforts, making its verif...