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Case Report
The fungus Candida glabrata in intragastric balloon
1 MD, Medical Mycology Laboratory, Laboratory for Teaching and Research in Clinical Analysis, State University of Maringa, Brazil
2 Gastroenterologist Department of Diagnostic and Therapeutic Endoscopy, Mgastro Digestive Tract Medical Center, Maringá, Brazil
3 PhD, Coordinator of the Laboratory of General Pathology, State University of Maringá, Brazil
4 PhD, Medical Mycology Laboratory, Laboratory for Teaching and Research in Clinical Analysis, State University of Maringa, Brazil
Address correspondence to:
Terezinha Inez Estivalet Svidzinski
Av. Colombo, 5790, Block T20, Room 203, Maringá, Paraná,
Brazil
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Article ID: 101246Z01AP2021
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How to cite this article
Prado A, Brito RO, Pereira ECA, Becker TCA, Negri M, Svidzinski TIE. The fungus Candida glabrata in intragastric balloon. Int J Case Rep Images 2021;12:101246Z01AP2021.ABSTRACT
Introduction: The relentless increase in the worldwide incidence of obesity has intensified the need for new treatments that are effective and safe. The intragastric balloon (IGB) is one such treatment that emerged. Fungal biofilms formed on medical devices and their relationship to infectious diseases is now well-established. However, studies regarding the microbial contamination suffered by this device are still incipient.
Case Report: We report here the first case of an IGB affected by a Candida glabrata biofilm, characterized by microbiological and scanning electron microscopy techniques. We verified yeasts, of the same species, in the mucosa of the duodenum, which was accompanied by lymphocytic infiltrate, as revealed through histopathological investigation.
Conclusion: Our findings highlight the importance of biofilm investigation on this type of device and to recognize the potential repercussions for the carrier since obese patients are immunocompromised and may undergo surgical interventions, thereby aggravating the risk of candidemia.
Keywords: Biofilm, Candida, Gastric balloon, Gastrointestinal endoscopy
SUPPORTING INFORMATION
Author Contributions
Andressa Prado - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Rubens de Oliveira Brito - Acquisition of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Elton da Cruz Alves Pereira - Acquisition of data, Analysis of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Tania Cristina Alexandrino Becker - Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Melyssa Negri - Conception of the work, Design of the work, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Terezinha Inez Estivalet Svidzinski - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Andressa Prado et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
