Skip to main content

Table 1 *Urine culture also grew Candida glabrata

From: Candida species in community-acquired pneumonia in patients with chronic aspiration

Case

Sputum Gram Stain

Intracellular Yeast/Pseudohyphae

Sputum Culture CFU/ml

WBC/ml Sputum

Blood Culture

Viral PCR

ß-d Glucan pg/ml

Peripheral WBC mm3

PCT ng/ml

Chest Imaging

Aspiration Risk

Treatment

Outcome

1

Many WBC, many yeast, moderate GPR and GPC, rare GNR

Yes/Yes

C. glabrata 2 × 107

Pseudomonas 2 × 105

1.5 × 107

C. albicans

ND

ND

17,800

17.7

Patchy bilateral opacities

Oropharyngeal dysphagia, PEG, previous admissions for aspiration

Piperacillin-tazobactam

Micafungin

Opted for hospice and died within 1 month

2

Many WBC, yeast, GPR

Yes/Yes

C. albicans 5 × 106

Lactobacillus gasseri 5 × 107

1 × 107

Negative

Influenza A

>  500

15,400

0.14

Diffuse bilateral opacities

Dysphagia, achalasia, documented aspiration

Vancomycin

Ceftriaxone

Metronidazole

Micafungin

Died during admission

3

Many WBC, yeast, GPR, few GPC

Yes/No

C. albicans 6 × 106

Lactobacillus kalixensus 4 × 106

3.2 × 105

Negative

ND

> 500

4200

<  0.09

Bilateral bibasilar opacities

Seizures, suspected aspiration

VancomycinCeftriaxone

Metronidazole

Trimethoprim-sulfamethaxole

Fluconazole

Improved

4

Many WBC, yeast, GPC (pairs, chains, clusters)

Yes/Yes

C. albicans 2 × 107

S. aureus 5 × 107

S. pneumoniae 4 × 107

9 × 107

S. aureus

C. glabrata*

Influenza A

>  500

17,700

ND

Diffuse bilateral opacities

PEG with pleasure feeds, suspected aspiration

Oseltamivir

Piperacillin-tazobactam

Nafcillin

Fluconazole

Died during admission

5

Many WBC, yeast and GPR

Yes/Yes

C. tropicalis 4 × 106

Lactobacillus gasseri 1.6 × 108

ND

Negative

ND

ND

28,000

4.75

Bibasilar reticulonodular opacities

Tracheostomy, PEG, suspected aspiration

Vancomycin

Cefepime

Metronidazole

Micafungin

Improved then died within 1 year

6

Many WBC, yeast, GPR

Yes/Yes

C. glabrata 1.3 × 108

C. tropicalis 2 × 106

S. aureus 5 × 105

ND

ND

Negative

ND

4300

<  0.09

Bilateral opacities

Supraglottic squamous cell cancer, chronic dysphagia, suspected aspiration

CeftriaxoneAzithromycin

Fluconazole

Improved

  1. Abbreviations: WBC white blood cells, PCT procalcitonin, CFU colony forming units, CCI Charlson Comorbidity Index, GPC Gram positive cocci, GPR Gram positive rods, GNR Gram negative rods, PMN polymorphonuclear leukocytes, ND not done, PEG percutaneous endoscopic gastrostomy tube