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Candida sepsis from local infection in a patient with a urostomy on SGLT2 inhibitor therapy

Ralph Wendt, Diana Schmerler, Charlotte Müller-Hechler and 3 more

International Journal of Infectious Diseases · 2020

doi:10.1016/j.ijid.2020.06.073 (opens in a new tab)

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Abstract

Sodium–glucose co-transporter 2 (SGLT2) inhibitors exhibit impressive cardio-renal benefits in patients with a high cardiovascular risk. Genital yeast infections are important side effects of this class of drugs. We report a case of Candida glabrata sepsis secondary to a Candida infection of the urostomy of a patient on SGLT2 inhibitor therapy. In urostomy patients, one should critically evaluate the risk of mycotic infections against the cardiovascular and glycaemic benefits of SGLT2 inhibition. Urostomy patients without a high cardiovascular risk should not be treated with SGLT2 inhibitors.

Abstract licence: CC BY-NC-ND

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