Abstract
BackgroundFacial abscess caused by Candida albicans infection is a rare condition even in immunocompromised patients, and only a few cases have been reported. To our knowledge, this is the first case of multiple facial candidal abscesses caused by self-administered acupuncture in an undiagnosed diabetes mellitus patient.Case presentationA 57-year-old woman who had self-acupuncture treatment 2 weeks previously, presented with a 1-week history of progressive left eyelid swelling, erythema, and pain. Despite the antibiotic treatment, the lesion progressed. Surgical incision and drainage was performed and Candida albicans was isolated from the obtained pus culture. The patient was diagnosed with type 2 diabetes mellitus based on a random serum glucose level of 350 mg/dl and 9.2% HbA1c. The abscess resolved after seven incision and drainage cycles and 4 weeks of intravenous fluconazole treatment with an appropriate control of diabetes mellitus.ConclusionUnusual organisms and underlying immunocompromised condition should be suspected in cases of recurrent abscess showing an inadequate response to antibiotic treatment.
Highlights
Facial abscess caused by Candida albicans infection is a rare condition even in immunocompromised patients, and only a few cases have been reported
Candida albicans (C. albicans) is an opportunistic fungal pathogen found in normal microflora
Facial abscess caused by C. albicans infection is a rare condition even in immunocompromised patients and only a few cases have been reported [4,5,6,7]
Summary
Facial abscess caused by Candida albicans infection is a rare condition even in immunocompromised patients, and only a few cases have been reported. Conclusion: Unusual organisms and underlying immunocompromised condition should be suspected in cases of recurrent abscess showing an inadequate response to antibiotic treatment. Facial abscess caused by C. albicans infection is a rare condition even in immunocompromised patients and only a few cases have been reported [4,5,6,7]. Candidal infection of subcutaneous tissue may result from direct contact, inoculation injury or hematogenous spread [8].The authors report a case of multiple facial candidal
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