A Case of Nodular Subcutaneous Abscesses due to Candida tropicalis Complicated by Acute Myeloid Leukemia

Abstract

We report a case of acute myeloid leukemia in which multiple nodular subcutaneous abscesses were shown in the extremities after chemotherapy began.
A 47-year-old male was treated with behenoyl-Ara C (BHAC) and daunorubicin (DNR) for acute myeloid leukemia (AML), but the bone marrow suppression continued for a long period and a high grade fever appeared. A month after the anti-leukemic chemotherapy, an abnormal shadow was seen in the right upper lung, and multiple subcutaneous abscesses were observed in the extremities. An abscess was also shown in front of the vertebral body by cervical CT scan. These subcutaneous abscesses were deep-seated in the muscle, and Candida tropicalis was cultured from the extracted tissue. The patient was then treated with fluconazole (FCZ), and five of seven subcutaneous abscesses were extracted. Two months later, the rest of the subcutaneous abscesses and the abscess the lung and vertebral body had disappered.