| Fungal splenic abscess. | |
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MedLine Citation:
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PMID: 6385895 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Nineteen patients with fungal splenic abscesses included 16 with leukemia, one drug user, one patient with Cushing's syndrome, and one without predisposing causes. Fifteen had persistent fever; six had esophageal or mucocutaneous candidiasis. Abdominal pain occurred in seven patients, splenomegaly occurred in six, and left abdominal mass occurred in one. Three chest x-ray films showed left pleural effusions; two had elevated left hemidiaphragms, two had left-sided infiltrates, and one was normal. Sixteen of 17 technetium Tc 99m sulfur colloid scans were abnormal, as were 15 gallium citrate Ga 67 scans. Two computed tomographic studies revealed splenic defects. Candida was the cause in 15 cases, Aspergillus was the cause in three cases, and Blastomyces dermatitidis was the cause in one case. Sixteen patients underwent splenectomy, 12 receiving postoperative antifungal therapy. Fifteen survived regardless of underlying disease or hepatic microabscesses. |
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Authors:
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J D Johnson; M J Raff |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Archives of internal medicine Volume: 144 ISSN: 0003-9926 ISO Abbreviation: Arch. Intern. Med. Publication Date: 1984 Oct |
Date Detail:
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Created Date: 1984-11-01 Completed Date: 1984-11-01 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0372440 Medline TA: Arch Intern Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1987-93 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abscess
/
diagnosis,
etiology*,
surgery Adolescent Adult Aspergillus / isolation & purification Candida / isolation & purification Child, Preschool Female Fever / etiology Humans Infant Leukemia / complications Middle Aged Mycoses / diagnosis, etiology*, surgery Splenectomy Splenic Diseases / diagnosis, etiology*, surgery Tomography, X-Ray Computed Ultrasonography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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