Da'as N, Lossos I S, Yahalom V, Rund D, Wolf D G, Zelig O, Ben-Yehuda D
Department of Hematology, Hadassah University Hospital,Ein-Karem, PO Box 12000, Jerusalem 91120, Israel.
Eur J Med Res. 1997 Aug 28;2(8):365-6.
A case of Candida abscess of the thyroid in a patient with acute lymphoblastic leukemia is described. The patient developed this rare complication after treatment with steroids and combination chemotherapy, during therapy with broad spectrum antibiotics for febrile neutropenia. Prior to the thyroiditis the patient had pulmonary aspergillosis. The abscess developed during treatment with high dose Amphotericin B. Unlike previous cases, the Candida was isolated to the thyroid, with no evidence of Candidemia or Candida infection in other sites.
本文描述了一例急性淋巴细胞白血病患者发生甲状腺念珠菌脓肿的病例。该患者在接受类固醇和联合化疗后,因发热性中性粒细胞减少症接受广谱抗生素治疗期间出现了这种罕见的并发症。在发生甲状腺炎之前,该患者患有肺曲霉病。脓肿在高剂量两性霉素B治疗期间形成。与之前的病例不同,念珠菌仅局限于甲状腺,其他部位未发现念珠菌血症或念珠菌感染的证据。