Analgesia & Resuscitation : Current ResearchISSN: 2324-903X

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Case Report, Analg Resusc Curr Res Vol: 5 Issue: 1

Postoperative Intensive Care of Severe Boerhaave Syndrome: A Case Study

Mahoungou Guimbi KC1,2*, Kouame EK1 and Mfam WS1
1Surgical Intensive Care Unit, Orleans Regional Hospital, France
2Maternity and surgery department, Marien Ngouabi University, Brazzaville, Congo
Corresponding author : Mahoungou Guimbi KC
Maternity and Surgery Department, University Marien Ngouabi, Brazzaville, Congo
Tel: 00242055233281; 0033781653294
E-mail:
mahoungouguimbi@yahoo.fr
Received: January 01, 2016 Accepted: April 02, 2016 Published: April 07,2016
Citation: Mahoungou Guimbi KC, Kouame EK, Mfam WS (2016) Postoperative Intensive Care of Severe Boerhaave Syndrome: A Case Study. Analg Resusc:Curr Res 5:1. doi:10.4172/2324-903X.1000139

Abstract

Postoperative Intensive Care of Severe Boerhaave Syndrome: A Case Study

Boerhaave syndrome occurrence is rare in resuscitation. Its severe form leads directly to a life-threatening situation. We are reporting the case of an 85-year-old man admitted to ICU with severe Boerhaave syndrome and septic shock. The initial empirical broad-spectrum antibiotics therapy was effective on bacteria species. Empirical antifungal therapy required readjustment using caspofungin according to intraoperative fluid cultures. Indeed Candida glabrata was resistant to Fluconazole. Patient outcome was favourable; he discharged to continuous care unit on the 10th postoperative day.

Keywords: Anti-infectious therapy; Boerhaave syndrome; Critical ill patient; Resuscitation

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