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Candida albicans pancreatitis in a child with cystic fibrosis post lung transplantation

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Abstract

We present a case of Candida albicans infection of a previously intact pancreas in a child with cystic fibrosis status post lung transplantation. Although Candida superinfection in necrotizing pancreatitis is not uncommon, this is a unique case of Candida infection of non-necrotic pancreatic parenchyma. This case presented a diagnostic dilemma for radiologists because it appeared virtually identical to acute interstitial edematous pancreatitis on imaging. Ultimately, endoscopic US-based biopsy was pursued for diagnosis. Although difficult to treat and compounded by the immunocompromised status of the child, the pancreatic infection improved with antifungal therapy.

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Authors and Affiliations

  1. Mallinckrodt Institute of Radiology, Washington University School of Medicine, 510 S. Kingshighway Blvd., Campus Box 8131, St. Louis, MO, 63110, USA

    Mark M. Hammer & Elizabeth F. Sheybani

  2. Department of Pathology, Washington University School of Medicine, St. Louis, MO, USA

    Lingxin Zhang

  3. Division of Gastroenterology, Hepatology and Nutrition, Washington University School of Medicine, St. Louis, MO, USA

    Janis M. Stoll

Authors
  1. Mark M. Hammer
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  2. Lingxin Zhang
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  3. Janis M. Stoll
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  4. Elizabeth F. Sheybani
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Correspondence to Elizabeth F. Sheybani.

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Hammer, M.M., Zhang, L., Stoll, J.M. et al. Candida albicans pancreatitis in a child with cystic fibrosis post lung transplantation. Pediatr Radiol 46, 575–578 (2016). https://doi.org/10.1007/s00247-015-3488-4

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  • DOI: https://doi.org/10.1007/s00247-015-3488-4

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