Hepatic abscesses and fungemia from Torulopsis glabrata. Successful treatment with percutaneous drainage and amphotericin B.
A 39-year-old man with severe diabetes mellitus, chronic pancreatic insufficiency, intrapancreatic choledochal stricture, and secondary biliary cirrhosis developed postsurgical fungemia and large hepatic abscesses due to Torulopsis glabrata. These were treated successfully with a combination of amphotericin B and percutaneous drainage of the liver abscesses. We believe this is the first reported case of such infection due to this normally saprophytic agent.
Peninsula Hospital and Medical Center (Mills-Peninsula Hospital), Burlingame, California.
E
E
Friedman
R J
RJ
Blahut
M D
MD
Bender
D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D002177:Candidiasis / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D003131:Combined Modality Therapy; D004322:Drainage; D006801:Humans; D008100:Liver Abscess / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D008297:Male
D000666:Amphotericin B