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T2 magnetic resonance for the diagnosis of deep-seated invasive candidiasis in a liver recipient without candidemia
Authors:Jesus Fortún  Francesca Gioia  Patricia Muñoz  Javier Graus  Elia Gómez-García de la Pedrosa  Pilar Martín-Dávila  Ana Saiz  Antonio Vena  Santiago Moreno
Institution:1. Infectious Diseases Department, Ramón y Cajal Hospital, Madrid, Spain;2. Digestive Department, Ramón y Cajal Hospital, Madrid, Spain;3. Microbiology Department, Ramón y Cajal Hospital, Madrid, Spain;4. Pathology Department, Ramón y Cajal Hospital, Madrid, Spain;5. Microbiology Department, Gregorio Marañón Hospital, Madrid, Spain
Abstract:

Background

T2 magnetic resonance imaging (T2MR) is a new method for the diagnosis of invasive candidiasis, although most studies have analyzed its role in patients with candidemia or not infection.

Case report

We present the case of a patient with arteritis and thrombosis of the hepatic graft resulted from an undocumented fungal infection in the explanted liver.T2MR in serum was a suitable diagnostic tool for the diagnosis of the deep-seated invasive candidiasis in the absence of candidemia or the isolation of the yeast in culture.

Conclusions

T2MR allowed the diagnosis of deep-seated invasive candidiasis in an immunodepressed patient without candidemia, even before the onset of symptoms.
Keywords:T2 magnetic resonance  Invasive candidiasis  Liver transplant  Resonancia magnética T2  Candidiasis invasora  Trasplante de hígado
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