Kapur A, Vasudeva R, Howden C W
Division of Digestive Diseases and Nutrition, University of South Carolina School of Medicine, Columbia, USA.
Am J Gastroenterol. 1997 Mar;92(3):509-12.
Focal hepatosplenic candidiasis has been increasingly recognized as a variant of disseminated candidiasis in immunocompromised patients. It rarely presents as Candida splenic abscess. Its occurrence in non-leukemic patients is quite rare. A patient with diabetes mellitus and previously undiagnosed sickle cell trait presented with upper gastrointestinal bleeding. Candida splenic abscess was diagnosed. She was successfully treated with percutaneous drainage and fluconazole. The clinical presentation, diagnosis, and treatment of Candida splenic abscess is reviewed, and its relationship to diabetes mellitus and sickle cell disease without major immunodeficiency is discussed.
局灶性肝脾念珠菌病越来越被认为是免疫功能低下患者播散性念珠菌病的一种变体。它很少表现为念珠菌脾脓肿。在非白血病患者中其发生相当罕见。一名患有糖尿病且先前未诊断出镰状细胞性状的患者出现上消化道出血。诊断为念珠菌脾脓肿。她通过经皮引流和氟康唑成功治愈。本文回顾了念珠菌脾脓肿的临床表现、诊断和治疗，并讨论了其与无严重免疫缺陷的糖尿病和镰状细胞病的关系。
