[Hepatosplenic fungal abscesses in the immunocompromised].
A rare, newly recognized variant of systemic fungal infection is the occurrence of focal hepatosplenic microabscesses in the immunocompromised patient. A patient with persistent unexplained fever should have a CT or ultrasound scan of the abdomen. The presence of multiple splenic lesions strongly suggests fungal disease. If antifungal therapy does not result in complete resolution of fever and splenic lesions, splenectomy is recommended.
Gross
E
E
Dept. of Pediatric Surgery, Hadassah-University Hospital, Ein Kerem, Jerusalem.
Or
R
R
Weinberger
M
M
Abu-Dalu
K
K
Schiller
M
M
D000005:Abdomen / Q000000981:diagnostic imaging; D000038:Abscess / Q000175:diagnosis*; D000935:Antifungal Agents / Q000627:therapeutic use; D006801:Humans; D007165:Immunosuppression Therapy / Q000009:adverse effects*; D008100:Liver Abscess / Q000175:diagnosis*; D009181:Mycoses / Q000175:diagnosis*; D011860:Radiography, Abdominal; D013158:Splenic Diseases / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
D000935:Antifungal Agents