• Takaaki Nemoto, Yasuharu Tokuda, Masanori Hirose, Yoshiyuki Naitoh, Yukitaka Yamasaki, Taro Shimizu, Hisashi Nishisako, Hiroyuki Kunishima, and Takahide Matsuda.
• Department of General Internal Medicine, JCHO Tokyo Joto Hospital, Japan.
• Intern. Med. 2017 Jan 1; 56 (9): 110711111107-1111.

AbstractA 79-year-old Japanese man who had undergone thoracic aortic replacement 10 years prior presented with a 3-day history of sore throat. He was initially diagnosed with pharyngitis; however, multiple emboli in the vessels of the left side of the body were recognized. He was diagnosed with thoracic aortic graft infection caused by Candida albicans, with multiple embolisms. Anti-fungal therapy was initiated, but surgical removal of the graft was not performed because of the high risk associated with the operation, and he eventually died. Inappropriate use of antibiotics might have led to a severe fungal infection. As such, the inappropriate use of antimicrobial agents should be avoided.

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