By Gary M. White, MD
Sepsis caused by Candida is a serious infection that is often fatal. The patient is usually very sick. Most are immunocompromised.
A very ill, immunocompromised patient with a smattering of erythematous to purpuric papulonodules is typical. Pustules may be seen. In advanced cases, hemorrhagic bulla that progress to necrotic lesions may occur (ala ecthyma gangrenosum).
A touch prep of a skin biopsy stained with KOH or Giemsa may show the organisms. Blood culture is positive less that half of the time.
Intravenous anti-yeast therapy should be given in consultation with an infectious disease specialist.
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