Candida cholecystitis in a diabetic patient on chronic peritoneal dialysis

Abstract

Acute cholecystitis caused by Candida glabrata is a rare condition. We present a 60-year-old female patient with end-stage renal failure on continuous ambulatory peritoneal dialysis experiencing high fever, shock, and leukocytosis. There was no evidence of continuous ambulatory peritoneal dialysis peritonitis. Abdominal computed tomography showed evidence of acute cholecystitis. A bile culture from percutaneous gallbladder drainage and a urine culture both showed growth of C. glabrata. However, after treatment with oral fluconazole and broad-spectrum antibiotics, the patient died of septic shock.