1986 Volume 27 Issue 1 Pages 79-83
A ten year-old-boy with T-lineage non-Hodgkin's lymphoma had prolonged antibioticrefractory fever and subcutaneous nodules after consolidation therapy with high-dose cytosine arabinoside. Cultures failed to identify bacterial sepsis. According to the recent reports in which characteristic clinical and radiologic findings in the diagnosis of systemic candidiasis were stressed, CT scan and Ultrasonography were employed to find “abscess-like” lesions in this patient. Because of the similar findings of multiple “abscess-like” lesions in the spleen and multiple lesions in the lungs, we diagnosed that he also suffered from systemic candidiasis. Prompt administration of Amphotericin B resulted in successful eradication of multiple lesions. As reported by others, diagnostic imaging seemed to be quite useful in identifying disseminated candidiasis.
