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STEVE H. DOUGHERTY, MD; RICHARD L. SIMMONS, MD, PHD
Minneapolis

Arch Surg. 1982;117(2):248-249.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—Saccharomyces cerevisiae, baker's yeast, is an uncommon cause of infection in humans. Although it has been reported as a cause of fungemia in a patient with a prosthetic heart valve,¹ as well as pulmonary infections,² it has never, to our knowledge, been reported to produce abdominal sepsis. We report a case of postoperative peritonitis caused by S cerevisiae that was successfully treated with the new antifungal agent, ketoconazole.

Report of a Case.—A 66-year-old man had signs of extrahepatic biliary obstruction, including painless jaundice and an enlarged gallbladder. A diagnosis of pancreatic cancer was made, and the patient underwent an exploratory laparotomy. A large malignant neoplasm was found in the head of the pancreas, and a total pancreatectomy was carried out with choledochojejunostomy and gastrojejunostomy. The postoperative course was complicated by a prolonged ileus, low-grade fever, and a persistent leukocyte count in the range . . . [Full Text PDF of this Article]

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