Digestive Diseases and Sciences

, Volume 52, Issue 3, pp 679–680 | Cite as

An Unusual Case Report of Small Bowel Candida Overgrowth as a Cause of Diarrhea and Review of the Literature

  • Mark FriedmanEmail author
  • David B. Ramsay
  • Marie L. Borum
Letter to the Editor


Candida overgrowth causing diarrhea is rare. There are only a few reported cases of individuals with underlying malignancy, severe immunocompromise, on immunosuppressive therapy or on recent antibiotic therapy who have had Candida-induced diarrhea. It is unclear if individuals without these recognized conditions can have an overgrowth of Candida species in the small bowel resulting in diarrhea. This report is a rare case of an immunocompetent individual with noninvasive small-bowel candidiasis presenting with diarrhea. We also offer a review of the literature.

Case report

A 61-year-old man with a past medical history significant for hepatitis C, hypertension, insulin-dependent diabetes, and chronic diarrhea presented to George Washington University Hospital complaining of one week of worsening diarrhea and severe bilateral lower-extremity pain. The patient reported that he had a one-year history of chronic diarrhea. During the week before admission, the diarrhea worsened...


Diarrhea Candida Celiac Disease Chronic Diarrhea Lactase 
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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Mark Friedman
    • 1
    Email author
  • David B. Ramsay
    • 1
  • Marie L. Borum
    • 1
  1. 1.Division of Gastroenterology and Liver DiseasesGeorge Washington University School of MedicineWashingtonUSA

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