SACCHAROMYCES-BOULARDII FUNGEMIA IN A SEV ERE BURN PATIENT

A case of Saccharomyces boulardii fungaemia in a burn patient is repor ted. S. boulardii was administered in order to improve the digestive t olerance to enteral nutrition. After a surgical procedure, a sepsis sy ndrome occurred, with a white blood cell count increase, abdominal met eorism and respiratory insufficiency, associated with seven blood cult ures positive to S. boulardii. Digestive translocation of the yeast se ems to be the most likely origin of this fungaemia. Some fungaemias fr om S. boulardii have been published. However it is not usual to find s uch severe clinical features as in our case which leads us to reconsid er the therapeutic use of S. boulardii in situations including a gastr ointestinal tract suffering.