Skip to main content
Log in

Liver candidiasis

The various sonographic patterns in the immunocompromised child

  • Originals
  • Published:
Pediatric Radiology Aims and scope Submit manuscript

Abstract

Liver candidiasis is characterised by small abscesses spread throughout the organ at random. These lesions may be identified sonographically. In the active phase of the disease, hepatomegaly is seen together with the “wheel in wheel” phenomenon, the “wagon wheel” appearance and/or the “bull's eye” lesion. Later on, hypoechoic defects develop. When the echogenic foci are revealed, the healing phase is initiated. These manifestations are demonstrated in 4 pediatric oncology patients. The sonographic patterns as well as its differential diagnosis from primary liver tumors, metastatic infiltrations or other abscess formations are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Thaler M, Pastakia B, Shawker TH, O'Leary T Pizzo PA (1988) Hepatic candidiasis in cancer patients: the evolving picture of the syndrome. Ann Intern Med 108: 88

    PubMed  Google Scholar 

  2. Miller JH, Greenfield LD, Wald BR (1982) Candidiasis of the liver and spleen in childhood. Radiology 142: 375

    PubMed  Google Scholar 

  3. Pastakia B, Shawker TH, Thaler M, O'Leary T, Pizzo PA (1988) Hepatosplenic candidiasis: wheels within wheels. Radiology 166: 417

    PubMed  Google Scholar 

  4. Levine M, Bader-Maunier B, Tassin E, Dupont B, Courtecuisse V, Tchernia G (1990) Visceral candidiasis in 2 children treated for acute leukemia. Arch Fr Pediatr 47: 365

    PubMed  Google Scholar 

  5. Fenaux P, Lemaitre L, Ajana F, Colcher-Plantier I, Jouet JP, Bauters F (1989) Hepatosplenic candidasis: an overlooked cause of prolonged fever during recovery from an episode of neutropenia. Nouv Rev Fr Hematol 31: 45

    PubMed  Google Scholar 

  6. Naxwell AJ, Mamtora H (1988) Fungal liver abscesses in acute leukemia 3-a report on two cases. Clin Radiol 39: 197

    Article  PubMed  Google Scholar 

  7. Schmidt H, Peters PE, von Lengerke HJ, Fischedick AR, Ziegler R, Stenzinger (1987) Microabscesses of the spleen in patients with acute leukemia. Radiologie 27: 20

    Google Scholar 

  8. Maksymiuk AW, Thongprasert S, Luna M, Fainstein V, Body GP (1984) Systemic candidiasis in cancer patients. Am J Med 30: 20

    Google Scholar 

  9. Hayden CK, Swischuk LE (1987) Pediatric ultrasonography. Williams and Wilkins, Baltimore, pp 193–213

    Google Scholar 

  10. Kalifa G (1986) Pediatric ultrasonography. Springer, Berlin Heidelberg New York, pp 108–116

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Grünebaum, M., Ziv, N., Kaplinsky, C. et al. Liver candidiasis. Pediatr Radiol 21, 497–500 (1991). https://doi.org/10.1007/BF02011722

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02011722

Keywords

Navigation