INTESTINAL-OBSTRUCTION AND TORULOPSIS-GLA BRATA FUNGEMIA

A 27 year-old woman previously diagnosed of aplastic anemia secondary to treatment with gold salts for rheumatoid arthritis, presented with an episode of intestinal oclusion with acute renal failure. A CT scan revealed dilated intestinal loops, thickening of the ileum wall withou t cecal involvement, and multiple punctuate lesions (microabcesses) of liver, spleen and kidneys, At laparotomy, one meter of proximal jejun um was resected. The cultures of jejunal biopsy specimens yielded Toru lopsis glabrata. The patient underwent multiorgan failure and died on the 8(th) postoperative day.