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November 1960

Fatal Septic Thrombophlebitis Due to Candida Albicans After Prolonged Antibiotic Therapy

Author Affiliations

Walnut Creek, Calif.
From the Department of Surgery, University of California School of Medicine, San Francisco, California.

Arch Surg. 1960;81(5):726-732. doi:10.1001/archsurg.1960.01300050048010

With the advent of antibiotics, surgical infections were becoming unusual rather than frequent complications of surgery.2 In recent years, however, sepsis is again becoming a major problem in patient care. This article will bring to attention the problem of fungal infection, and monilia in particular, as a potential complication of modern patient care. The following case report describes the fatal complication of septic thrombophlebitis with septicemia due to Candida albicans in a patient in whom antibiotics were administered for a bacterial pelvic infection incident to a compound fracture of the pelvis.

Report of a Case  A 28-year-old Negro woman was admitted to San Francisco General Hospital after being thrown from an automobile in which she was a passenger. She was crushed beneath the vehicle as it rolled over her. She was amnesic concerning the accident but was not unconscious.She was lucid when she was admitted to the emergency

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