Do you recommend treating Candida albicans on urine culture from an indwelling catheter in a patient with septic shock?

In a patient with septic shock, one is typically obligated to treat all things until further culture data is back, etc. If there are other clear causes of shock, I would not treat the candida (though I would try to change the catheter ASAP). If the patient is extremely ill and no other sources of in...

Rarely a problem unless candidemia.

C albicans is a common, generally asymptomatic, fungus in individuals with a chronic indwelling Foley. A rare cause of septic shock. Yet “common” and “rare” are statistical probabilities, not certainties. In individuals with potentially high morbidity and mortality septic shock, we generally treat f...

Rarely would I treat unless I believed the patient was at high risk for candidemia and the cultures were still maturing. If the patient has anatomical abnormalities of the GU tract, Candida can form a bezoar and lead to downstream complications, so I would consider imaging or further evaluation to l...