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Candida albicans peritonitis in a patient with Felty’s syndrome

Departments of Haematology, Histopathology, Rheumatology, and Surgery, Derriford Hospital, Plymouth, PL6 8DH UK

Correspondence to:
Dr D W Thomas
Department of Haematology, West Suffolk Hospital, Bury St Edmunds, Suffolk IP33 2QZ, UK; wayne.thomas{at}wsh.nhs.uk
ABSTRACT
A 53 year old man with Felty’s syndrome presented with abdominal pain and fever. He underwent a laparotomy after starting broad spectrum antibiotics. An intestinal biopsy showed skip ulcers with fungal hyphae. Peritoneal exudates grew Candida albicans. He was started on intravenous fluconazole and then switched to liposomal amphotericin to which he showed a good clinical response. After one month at home he was readmitted with candidosis and died of a myocardial infarction.