[Hepatosplenic fungal abscesses in the immunocompromised].

Harefuah

Dept. of Pediatric Surgery, Hadassah-University Hospital, Ein Kerem, Jerusalem.

Published: March 1995

AI Article Synopsis

  • A newly identified systemic fungal infection variant causes focal microabscesses in the liver and spleen, particularly in immunocompromised individuals.
  • If a patient experiences ongoing unexplained fever, imaging like a CT or ultrasound of the abdomen is advised to check for splenic lesions.
  • If antifungal treatment fails to eliminate fever and lesions, removing the spleen (splenectomy) is recommended.

Article Abstract

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.

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