Abstract
Fungal empyema (FE), which has a death rate of 70%, is still a rare condition. FE is a rare cause of empyema. Its association with chronic pancreatitis in immunocompetent patients is rarely reported. This rare case is reported from the tertiary care hospital in central rural India. We present the case of a 40-year-old male known alcoholic with chronic pancreatitis who presented with dyspnea, fever, and left-sided localized chest pain for 2 months. Pleural fluid cytology revealed periodic acid–Schiff and Giemsa stain-positive fungal hyphae morphologically appear to be Candida albicans. Candida empyema thoracic in an immunocompetent patient with chronic pancreatitis responded well to early treatment with pleurocentesis and intravenous fluconazole.
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