Abdominal Imaging

, Volume 29, Issue 2, pp 228–230

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

  • S. G. Viscomi
  • K. J. Mortelé
  • V. Cantisani
  • J. Glickman
  • S. G. Silverman
Original article

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—Spleen infection—Spleen infarction—Trichosporum beigelii 

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Copyright information

© Springer-Verlag New York, Inc. 2004

Authors and Affiliations

  • S. G. Viscomi
    • 1
  • K. J. Mortelé
    • 1
  • V. Cantisani
    • 1
  • J. Glickman
    • 2
  • S. G. Silverman
    • 1
  1. 1.Division of Abdominal Imaging and Intervention, Department of RadiologyBrigham & Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115USA
  2. 2.Department of PathologyBrigham & Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115USA

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