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Abstract：
BACKGROUND: Facial 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.
METHODS: A 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.
CONCLUSIONS: Unusual organisms and underlying immunocompromised condition should be suspected in cases of recurrent abscess showing an inadequate response to antibiotic treatment.
METHODS: A 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.
CONCLUSIONS: Unusual organisms and underlying immunocompromised condition should be suspected in cases of recurrent abscess showing an inadequate response to antibiotic treatment.
摘要：
背景：白色念珠菌感染引起的面部脓肿是一种罕见的疾病，即使在免疫功能低下的患者中，只有少数病例报告。据我们所知,这是在未确诊的糖尿病患者中，由自我针灸引起的多发性面部念珠菌脓肿的首例病例。
方法：一名57岁女性，2周前接受过自我针灸治疗，有1周的进行性左眼睑肿胀病史，红斑,和痛苦。尽管有抗生素治疗,病变进展。进行手术切开和引流，并从获得的脓液培养物中分离出白色念珠菌。根据350mg/dl的随机血清葡萄糖水平和9.2％HbA1c，该患者被诊断为2型糖尿病。经过七个切开和引流周期以及静脉氟康唑治疗4周后，脓肿得以缓解，并适当控制了糖尿病。
结论：对于对抗生素治疗反应不足的复发性脓肿，应怀疑异常生物体和潜在的免疫功能低下的情况。
方法：一名57岁女性，2周前接受过自我针灸治疗，有1周的进行性左眼睑肿胀病史，红斑,和痛苦。尽管有抗生素治疗,病变进展。进行手术切开和引流，并从获得的脓液培养物中分离出白色念珠菌。根据350mg/dl的随机血清葡萄糖水平和9.2％HbA1c，该患者被诊断为2型糖尿病。经过七个切开和引流周期以及静脉氟康唑治疗4周后，脓肿得以缓解，并适当控制了糖尿病。
结论：对于对抗生素治疗反应不足的复发性脓肿，应怀疑异常生物体和潜在的免疫功能低下的情况。
