Refractory cholangitis after Kasai's operation caused by candidiasis: a case report.
A case of biliary atresia treated by Kasai portoenterostomy was re-explored a year later for refractory cholangitis, which failed to respond to antibiotic treatment. Unexpectedly, the granulation tissue obstructing the porta hepatis contained pseudohyphae of Candida albicans. After curettage and Amphotericin B local irrigation, the patient became afebrile and anicteric.
D000666:Amphotericin B / Q000627:therapeutic use; D001652:Bile Ducts / Q000002:abnormalities / Q000601:surgery*; D002177:Candidiasis / Q000188:drug therapy; D002761:Cholangitis / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D006801:Humans; D007223:Infant; D011183:Postoperative Complications / Q000188:drug therapy / Q000209:etiology*; D012086:Reoperation
D000666:Amphotericin B