Gastrointestinal translocation as a possible source of candidemia in an AIDS patient

Abstract

Apart from cryptococcosis and histoplasmosis, which are mycoses contained by T cell-mediated mechanisms of host defense, fungemia is rarely found in AIDS patients. The frequency of fungemia due to Candida spp. has been reported to be as low as 1 %. We report a non-neutropenic AIDS patient who presented a candidemia which probably arose from her gastrointestinal tract.

Diferente de histoplasmose e criptococose, doenças fúngicas associadas a depressão da imunidade celular, fungemia causada por Candida spp. tem sido raramente relatada em pacientes com AIDS. O presente relato ilustra um caso de candidemia em paciente não neutropênico portador de AIDS, cuja origem parece ter sido via translocação através do trato gastrointestinal.