PMID- 30772467 OWN - NLM STAT- MEDLINE DCOM- 20190610 LR - 20190613 IS - 1878-3511 (Electronic) IS - 1201-9712 (Linking) VI - 81 DP - 2019 Apr TI - Candida Tropicalis renal microabscesses in a child with leukemia confirmed using nucleic acid amplification and recovery after prolonged antifungal and corticosteroid treatment. PG - 110-113 LID - S1201-9712(19)30066-9 [pii] LID - 10.1016/j.ijid.2019.02.002 [doi] AB - We report the first case of microabscesses detected by polymerase chain reaction (PCR) amplification of nucleic acid from ultrasound-guided aspirated fluid in a three-year old boy with acute lymphoblastic leukemia and febrile neutropenia during induction chemotherapy. Fever persisted despite effective antifungal treatment. The addition of corticosteroid therapy successfully controlled the suspected immune reconstitution inflammatory syndrome (IRIS). This case highlights the utility of PCR and adjunctive corticosteroid in the approach of Candida tropicalis renal microabscesses in leukemic patients undergoing chemotherapy. CI - Copyright (c) 2019 The Author(s). Published by Elsevier Ltd.. All rights reserved. FAU - Rosa Duque, Jaime S AU - Rosa Duque JS AD - Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong. Electronic address: jsrduque@hku.hk. FAU - To, Kelvin K W AU - To KKW AD - Department of Microbiology, Queen Mary Hospital, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong. FAU - Chiang, Alan K S AU - Chiang AKS AD - Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong. FAU - Chan, Godfrey C F AU - Chan GCF AD - Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong. FAU - Poon, Rosana W S AU - Poon RWS AD - Department of Microbiology, Queen Mary Hospital, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong. FAU - Yuen, Kwok-Yung AU - Yuen KY AD - Department of Microbiology, Queen Mary Hospital, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong. FAU - Ha, Shau-Yin AU - Ha SY AD - Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong. FAU - Cheuk, Daniel K L AU - Cheuk DKL AD - Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong. LA - eng PT - Case Reports PT - Journal Article DEP - 20190214 PL - Canada TA - Int J Infect Dis JT - International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases JID - 9610933 RN - 0 (Adrenal Cortex Hormones) RN - 0 (Antifungal Agents) SB - IM MH - Abscess/*drug therapy MH - Adrenal Cortex Hormones/*therapeutic use MH - Antifungal Agents/*therapeutic use MH - *Candida tropicalis MH - Candidiasis/*drug therapy MH - Child, Preschool MH - Humans MH - Kidney Diseases/*drug therapy MH - Male MH - Nucleic Acid Amplification Techniques/*methods MH - Precursor Cell Lymphoblastic Leukemia-Lymphoma/complications/*drug therapy MH - Ultrasonography, Interventional OTO - NOTNLM OT - Candida OT - Leukemia OT - Nucleic acid amplification OT - Polymerase chain reaction OT - Renal abscess EDAT- 2019/02/18 06:00 MHDA- 2019/06/14 06:00 CRDT- 2019/02/18 06:00 PHST- 2018/11/28 00:00 [received] PHST- 2019/02/01 00:00 [revised] PHST- 2019/02/08 00:00 [accepted] PHST- 2019/02/18 06:00 [pubmed] PHST- 2019/06/14 06:00 [medline] PHST- 2019/02/18 06:00 [entrez] AID - S1201-9712(19)30066-9 [pii] AID - 10.1016/j.ijid.2019.02.002 [doi] PST - ppublish SO - Int J Infect Dis. 2019 Apr;81:110-113. doi: 10.1016/j.ijid.2019.02.002. Epub 2019 Feb 14.