ABSTRACT

Approximately 25% to 50% of nasocomial candida infections are seen in the medi-cal, medico-surgical, surgical, and intensive care units (ICU) and out of these 35% to 65% are the non-albicans Candida (NAC) types. C. kefyr is responsible less than 1% of the candidemias among the NAC types. Other candidas might also be pathogenic in the event of increasing use of drugs, surgical interventions, organ transplantations, and AIDS, which damage the immunity system of individuals. It has been observed that the most sticky type is C. albicans and that this characteristic is not found in C. kefyr. This difference indicates a relationship between adherence and pathogenity.Although amphotericine B treatment has been suggested for patients who have C. kefyr multiplication in their urine, in our patient we applied fluconazole and the pati-ent responded. Therefore, in the treatment of patients who are elderly and who have a history of surgical interventions and diabetes mellitus, instead of amphotericine B, which has many nephrotoxic and systemic side effects, we selected fluconazole as an anti-fungal as a drug in our treatement and got a response from our patient and we wished to present our case.