Global Advanced Research Journal of Microbiology::::::GARJM>Malhotra et all: Study on A rare case of Candida perforation peritonitis following analgesic use for fracture lower limb.

Fungal microorganisms as a cause of gastric perforation, is very rare. We are reporting a case of perforation peritonitis in a 60 year old male patient after fracture of right lower limb for which he was given analgesics. An emergency exploratory laporotomy was performed and a pre-pyloric gastric perforation repair was done with Modified Graham’s patch. Pus drained revealed budding yeast cells with pseudohyphae suggesting Candida albicans on further processing. Fluconazole added to the treatment regimen along with piperacillin- tazobactam and metronidazole. Patient responded well to the treatment regimen and was discharged from hospital after 2 weeks of hospitalisation.

Keywords: perforation peritonitis, Candida albicans, fluconazole.