Abdominal Imaging

, Volume 29, Issue 2, pp 228–230

Fatal, complete splenic infarction and hepatic infection due to disseminated Trichosporon beigelii infection

Authors

  • S. G. Viscomi
    • Division of Abdominal Imaging and Intervention, Department of RadiologyBrigham & Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115
    • Division of Abdominal Imaging and Intervention, Department of RadiologyBrigham & Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115
  • V. Cantisani
    • Division of Abdominal Imaging and Intervention, Department of RadiologyBrigham & Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115
  • J. Glickman
    • Department of PathologyBrigham & Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115
  • S. G. Silverman
    • Division of Abdominal Imaging and Intervention, Department of RadiologyBrigham & Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115
Original article

DOI: 10.1007/s00261-003-0099-6

Cite this article as:
Viscomi, S., Mortelé, K., Cantisani, V. et al. Abdom Imaging (2004) 29: 228. doi:10.1007/s00261-003-0099-6
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Abstract

We report on a 56-year-old woman with acute lymphocytic leukemia who presented with right upper quadrant pain, fever, nausea, and vomiting. Laboratory studies confirmed fungemia with Trichosporum beigelii, and contrast-enhanced computed tomography of the abdomen demonstrated numerous low-attenuation liver lesions and a hypodense spleen with capsular enhancement suggestive of complete splenic infarction. Subsequent splenectomy confirmed that the spleen was completely infarcted and infiltrated with Trichosporum. The patient had a difficult postoperative course and died despite aggressive antifungal therapy.

Keywords

Computed tomography—Spleeninfection—Spleeninfarction—Trichosporum beigelii

Copyright information

© Springer-Verlag New York, Inc. 2004