PMC4762781_01
The axial image obtained as part of a CT of the abdomen and pelvis performed without contrast demonstrated a linear area of increased density (dashed arrow) corresponding to the hernia mesh at the anterior aspect of the peritoneal cavity filling the anterior facial defect with fluid both superficial and deep to this mesh (solid arrows).
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C. krusei grew on repeated cultures for a period of two months despite two consecutive courses of micafungin each for a two-week duration. CT scan of the abdomen showed a large fluid collection between the skin and the mesh (Fig. 1).
A photomicrograph showing budding yeast and pseudohyphae consistent with Candida spieces and inflammatory debris within the mesh. (Silver methenamine stain, original magnification 400x.)
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Cultures from the mesh grew C. krusei, and histology showed fungal elements within the mesh (Fig. 2).