title: Small bowel obstruction secondary to disseminated candidiasis in an immunocompromised patient: radiologic-pathologic correlation.
abstract: Immunosuppression for therapeutic reasons (e.g. post transplantation, post chemotherapy), as well as pathologic immunodeficiency due to certain pathologic conditions (e.g. AIDS, leukemia), is increasingly encountered in daily medical practice. As a result, the concomitant risk for opportunistic infections is higher and immunocompromised patients may present with uncommon clinical and radiologic conditions. We report on a case of a 33-year-old immunocompromised woman with a history of recurrent T-cell lymphoblastic lymphoma, which presented with abdominal pain. Computed tomography (CT) images demonstrated significant small bowel dilatation, wall thickening, and high-density intestinal content, with a focal point of transition in the pelvis. Extensive fungal enteritis due to Candida Albicans with partial small bowel obstruction was found on autopsy.
authors.affiliation: Dept of Radiology, Brigham and Women's Hospital, Boston, Ma, USA.
authors.forename: D
authors.initials: D
authors.lastname: Bielen
authors.forename: K
authors.initials: K
authors.lastname: Mortelé
authors.forename: H
authors.initials: H
authors.lastname: Peters
authors.forename: D
authors.initials: D
authors.lastname: Lombard
authors.forename: R
authors.initials: R
authors.lastname: Ros
mesh_terms: D000328:Adult; D002177:Candidiasis / Q000175:diagnosis*; D004751:Enteritis / Q000382:microbiology; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000382:microbiology* / Q000473:pathology; D007579:Jejunal Diseases / Q000175:diagnosis / Q000382:microbiology* / Q000473:pathology; D016399:Lymphoma, T-Cell / Q000188:drug therapy; D009894:Opportunistic Infections / Q000175:diagnosis*; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000188:drug therapy