[Fungal liver abscesses in a patient with primary sclerosing cholangitis and Crohn's disease].
Liver abscesses are a relatively infrequent complication of inflammatory bowel disease. These abscesses are usually multiple and of polymicrobial origin. The development of primary sclerosing cholangitis in inflammatory bowel disease, although provoking alterations in biliary morphology and a higher incidence of infections, does not predispose patients to the development of liver abscesses. We describe a new case of primary sclerosing cholangitis and Crohn's disease with multiple fungal liver abscesses caused by Candida albicans. The patient had developed a duodenal-biliary fistula. Antibiotic therapy produced clinical response and surgery was performed to repair the fistula.
Melero
Josep L
JL
Servicio de Gastroenterología, Hospital Universitari La Fe, Valencia, España. josep.melero@gmail.com
Bastida
Guillermo
G
Yago
María
M
Nevárez
Andrea
A
Nos
Pilar
P
Ponce
Julio
J
D001658:Biliary Fistula / Q000150:complications / Q000601:surgery; D002177:Candidiasis / Q000150:complications*; D015209:Cholangitis, Sclerosing / Q000150:complications*; D003137:Common Bile Duct Diseases / Q000150:complications / Q000601:surgery; D003424:Crohn Disease / Q000150:complications*; D004378:Duodenal Diseases / Q000150:complications / Q000601:surgery; D006801:Humans; D016867:Immunocompromised Host; D007412:Intestinal Fistula / Q000150:complications / Q000601:surgery; D008100:Liver Abscess / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D008297:Male; D008875:Middle Aged; D013369:Subphrenic Abscess / Q000150:complications / Q000175:diagnosis / Q000382:microbiology