Small-bowel infarction from disseminated aspergillosis.

摘要: Despite the use of new, effective drugs, disseminated invasive aspergillosis often remains lethal in neutropenic patients. Diagnosis is difficult because early symptoms are nonspecific. New tools could help diagnosis and lead to surgery when needed. A patient developed an acute abdomen. CT findings were a diffuse, small-bowel distention with thickened, distal, ileum wall. Emergency was performed resection immediate anastomosis distal ileum. Pathology small bowel showed wall necrosis invasion by Aspergillus fumigatus. The postoperative course uneventful except for persisting diarrhea secondary coexistent infection Clostridium difficile. antigene serum positive, whereas neither pulmonary nor central nervous system observed on scan. This should be considered patients show abdominal pain fever. Repetition antigenemia, search others localizations, scan, colonoscopy biopsies until allows administration antifungal therapy.