PMID: 9179739Apr 1, 1997Paper

Candida (Torulopsis glabrata) liver abscesses eight years after orthotopic liver transplantation

Journal of Clinical Gastroenterology
G M AnnunziataA L Baker

Abstract

The authors report the case of a 48-year-old man in whom candida (Torulopsis glabrata) liver abscesses developed 8 years after liver transplantation. After a week of fever, computed tomography and Doppler ultrasonography showed several fluid-filled loculations in the left lobe of the liver and hepatic arterial stenosis. Aspirates from the abscesses contained T. glabrata organisms. This complication probably developed because hepatic arterial stenosis resulted in bile infarcts (bilomas), which were contaminated via the biliary tract with candida from the biliary-enteric anastomosis. Catheter drainage and administration of amphotericin B for 10 weeks permitted successful retransplantation. T. glabrata liver abscesses, a life threatening complication that can occur long after liver transplantation, can be successfully managed by aggressive medical treatment followed by retransplantation.

References

Jun 1, 1979·The British Journal of Surgery·J M Northover, J Terblanche
Feb 1, 1991·Archives of Surgery·P CastaldoT J Pillen
Apr 1, 1989·Mayo Clinic Proceedings·A EidR A Krom
Oct 1, 1985·Transplantation·C P WajszczukB Shaw
May 1, 1995·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·J J WadeR Williams

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Citations

Jul 14, 2016·Clinical Transplantation·Oskar KornasiewiczMarek Krawczyk
Mar 24, 2005·World Journal of Gastroenterology : WJG·Chung-Hsu LaiShou-Dong Lee
Jan 25, 2003·Transplantation·Olympia A TachopoulouThomas F Keys
Apr 11, 2018·World Journal of Surgery·Iago JustoAlberto Marcacuzco

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