January 1955


Author Affiliations

Winnipeg, Man., Canada

From the Winnipeg Municipal Hospitals and the Department of Bacteriology, University of Manitoba.

AMA Arch Intern Med. 1955;95(1):112-117. doi:10.1001/archinte.1955.00250070128015

CANDIDA is frequently present as a commensal in the mouth, vagina, and intestinal tract or as a secondary invader following bacterial infections; it may, however, under certain circumstances become of primary clinical importance.

The clinical and pathological entities of localized cutaneous, vaginal, pharyngeal, bronchopulmonary, and pulmonary candidiasis are now well recognized.* Candidemia with mycotic lesions in the viscera has only rarely been reported.† Most of these reports have been on cases of meningitis and endocarditis.‡

The purpose of this paper is to report three cases of disseminated candidiasis observed at the Winnipeg Municipal Hospitals within a period of one year; in two of these patients the organism was isolated from the blood during life. We were particularly interested in the circumstances under which candidemia occurred and in the follow-up of one patient who survived.


Case 1.  —Mrs. M. C., a 22-year-old housewife, was in good health until

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