title: Disseminated aspergillosis inciting intestinal ischaemia and obstruction.
abstract: Invasive aspergillosis is an opportunistic infection that characteristically affects the immunocompromised host, resulting in a high degree of morbidity and mortality. Although the portal of entry is usually pulmonary, there are rare reports of invasive aspergillosis localized to the gastrointestinal tract. In addition, haematological spread may develop, with life threatening disseminated infection involving the vital organs and the gastrointestinal tract. Although disseminated infection is well recognized, the CT findings of gastrointestinal disease have not been reported to our knowledge. We describe the CT findings in a patient with invasive aspergillosis involving the gastrointestinal tract, which resulted in intestinal ischaemia complicated by small bowel obstruction.
authors.affiliation: Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA.
authors.forename: S S
authors.initials: SS
authors.lastname: Shah
authors.forename: B A
authors.initials: BA
authors.lastname: Birnbaum
authors.forename: J E
authors.initials: JE
authors.lastname: Jacobs
mesh_terms: D000368:Aged; D000753:Anemia, Refractory / Q000150:complications; D001228:Aspergillosis / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D007077:Ileal Diseases / Q000382:microbiology; D016867:Immunocompromised Host; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D007410:Intestinal Diseases / Q000000981:diagnostic imaging / Q000382:microbiology*; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000382:microbiology*; D007421:Intestine, Small / Q000098:blood supply* / Q000000981:diagnostic imaging; D007511:Ischemia / Q000000981:diagnostic imaging / Q000276:immunology / Q000382:microbiology*; D007579:Jejunal Diseases / Q000382:microbiology; D015470:Leukemia, Myeloid, Acute / Q000150:complications; D008297:Male; D011856:Radiographic Image Enhancement; D014057:Tomography, X-Ray Computed
chemical_list: D007166:Immunosuppressive Agents