An immunocompromised patient with a known history of cerebrovascular accident (CVA) with right-sided hemiparesis of long duration, type 2 diabetes mellitus, and hypertension presented with signs of rhabdomyolysis and later acute kidney injury (AKI). He subsequently developed Guillain Barre syndrome. Initially, hemodialysis was followed by plasmapheresis. After hemodialysis, the patient presented with multiple episodes of vomiting and weakness of all limbs. A culture showed growth of Enterococcus faecalis, and on Day 6, a bloodstream infection with Candida kefyr and a urinary tract infection with Enterococcus faecalis were diagnosed. We report a rare case of bloodstream infection due to C. kefyr.
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Thomas Jefferson Univ, Dept Med, Div Infect Dis & Environm Med, Philadelphia, PA 19107 USAThomas Jefferson Univ, Dept Med, Div Infect Dis & Environm Med, Philadelphia, PA 19107 USA
Neofytos, Dionissios
Pfaller, Michael A.
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机构:Thomas Jefferson Univ, Dept Med, Div Infect Dis & Environm Med, Philadelphia, PA 19107 USA
Pfaller, Michael A.
Diekema, Daniel J.
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机构:Thomas Jefferson Univ, Dept Med, Div Infect Dis & Environm Med, Philadelphia, PA 19107 USA
Diekema, Daniel J.
Horn, David
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机构:Thomas Jefferson Univ, Dept Med, Div Infect Dis & Environm Med, Philadelphia, PA 19107 USA
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Univ Washington, Med Ctr, Dept Med, Div Allergy & Infect Dis, Seattle, WA 98195 USAUniv Washington, Med Ctr, Dept Med, Div Allergy & Infect Dis, Seattle, WA 98195 USA
Gottlieb, GS
Limaye, AP
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机构:Univ Washington, Med Ctr, Dept Med, Div Allergy & Infect Dis, Seattle, WA 98195 USA
Limaye, AP
Chen, YC
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机构:Univ Washington, Med Ctr, Dept Med, Div Allergy & Infect Dis, Seattle, WA 98195 USA
Chen, YC
Van Voorhis, WC
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机构:Univ Washington, Med Ctr, Dept Med, Div Allergy & Infect Dis, Seattle, WA 98195 USA