Fungal Infections in the ICU

A 35-year-old male patient with a history of kidney transplantation is admitted to the intensive care unit after a Graham patch procedure for treatment of a gastric perforation. He is in septic shock and is being treated with Vancomycin and Piperacillin with Tazobactam and his hemodynamics are being supported with Norepinephrine and Vasopressin. He shows no hemodynamic improvement over 48 h despite resolution of his surgical issues and no new identifiable sources of infection.