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298721

Assessment of Fungal Blood Stream Infection in Patients with Liver Cirrhosis Admitted to The Intensive Care Unit

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Last updated: 24 Dec 2024

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Abstract

Background: Liver cirrhosis (LC) patients are at increased risk for infection due to weakened immune systems and gastrointestinal dysfunction. Therefore, it is crucial to do fungal cultures in LC patients and to keep a high index of suspicion. Objective: To detect fungal blood stream infection in patients with liver cirrhosis admitted to the intensive care unit. Methods: In a prospective cross-sectional study that was conducted on 124 subjects were admitted to Zagazig University Tropical department with symptoms and signs suggestive of fungal infections. Using light microscope 40X and 40X for visualization of fungal structures of blood culture. Results:  Our study couldn't detect any case with fungal blood stream infection. Nearly all our patients had leucocytic and inflammatory reaction. Fifty-one patients had HCC, 4 patients had malignant masses: 2 gastric and 2 duodenal masses with no other malignancy. Our patients had mean MELD score of 14.0 ± 3.55. Immune compromising drugs among our patients were completely absent and medical condition that may affect the immunity such as DM were relatively few in our patients. Conclusions: Liver cirrhosis frequently results in infections. Patients with cirrhosis who are hospitalized to the intensive care unit often get fungal infections, which exacerbate their overall state and can be fatal.  

DOI

10.21608/ejhm.2023.298721

Keywords

FUNGAL, Liver cirrhosis

Authors

First Name

Enas Faried

Last Name

Abd-ELlatief

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Affiliation

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Email

dr.enas.faried@gmail.com

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Orcid

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First Name

Hala Ismail Mohammed

Last Name

Hussein

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Orcid

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First Name

Takwa E.

Last Name

Meawed

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First Name

Heba A.

Last Name

Mohammed

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First Name

Shimaa Abd-Elfattah

Last Name

Awwaad

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Affiliation

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Email

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Orcid

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First Name

Ahmed Said

Last Name

Mohammed

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Volume

91

Article Issue

1

Related Issue

40609

Issue Date

2023-04-01

Receive Date

2023-05-12

Publish Date

2023-04-01

Page Start

4,679

Page End

4,685

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_298721.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=298721

Order

142

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Assessment of Fungal Blood Stream Infection in Patients with Liver Cirrhosis Admitted to The Intensive Care Unit

Details

Type

Article

Created At

24 Dec 2024