Fungemia with Torulopsis glabrata after endoscopic biliary stent replacement.

Abstract

We report a patient with disseminated cholangiocarcinoma who developed systemic fungemia subsequent to endoscopic retrograde cholangiopancreatography (ERCP) and stent replacement. Despite intensive systemic antifungal therapy with iv amphotericin B, the patient developed multiple complications and eventually succumbed to her underlying disease. Cultures of the removed stent and blood were positive for the same organism, Torulopsis glabrata. In an immunocompromised host during ERCP manipulation, fungal pathogens should be considered in post-stent septicemia.