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. 2020 Oct 30;7(12):001991.
doi: 10.12890/2020_001991. eCollection 2020.

Methicillin-Resistant Staphylococcus aureus and Candida albicans Secondary Bloodstream Co-Infection in a Patient with Tubular Oesophageal Duplication

Marta Carreira  1 , Joana Pimenta  1
Affiliations

Methicillin-Resistant Staphylococcus aureus and Candida albicans Secondary Bloodstream Co-Infection in a Patient with Tubular Oesophageal Duplication

Marta Carreira et al. Eur J Case Rep Intern Med. .

Abstract

Gastrointestinal duplications are rare congenital anomalies usually found incidentally in asymptomatic adult patients. We report a case of methicillin-resistant Staphylococcus aureus and Candida albicans secondary bloodstream co-infection in a 57-year-old male patient with a communicating tubular oesophageal duplication. The patient completed 21 days of medical treatment with vancomycin and anidulafungin and remained well without any complications, over 2 years of follow-up.

Learning points: Tubular oesophageal duplications are rare and often asymptomatic.Candida spp. seem to facilitate Staphylococcus aureus concomitant infection.Bloodstream infection due to uncommon agents should prompt further and exhaustive investigation of the source of infection.

Keywords: Candida albicans; Oesophageal duplication; Staphylococcus aureus.

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Conflict of interest statement

Conflicts of Interests: The Authors declare that there are no competing interests.

Figures

Figure 1
Figure 1
Chest CT showing an air-filled tract to the right of the “true” oesophagus
Figure 2
Figure 2
Upper endoscopy showing fistula openings to a “second oesophagus”
Figure 3
Figure 3
Videofluoroscopic modified barium swallow assessment revealed contrast leakage to the duplicate oesophagus
See this image and copyright information in PMC

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