CANDIDA (TORULOPSIS-GLABRATA) LIVER-ABSCESSES 8 YEARS AFTER ORTHOTOPIC LIVER-TRANSPLANTATION

The authors report the case of a 48-year-old man in whom candida (Toru lopsis glabrata) liver abscesses developed 8 years after liver transpl antation. After a week of fever, computed tomography and Doppler ultra sonography showed several fluid-filled loculations in the left lobe of the liver and hepatic arterial stenosis. Aspirates from the abscesses contained I glabrata organisms. This complication probably developed because hepatic arterial stenosis resulted in bile infarcts (bilomas), which were contaminated via the biliary tract with candida from the b iliary-enteric anastomosis. Catheter drainage and administration of am photericin B for 10 weeks permitted successful retransplantation. T. g labrata liver abscesses, a life-threatening complication that can occu r long after liver transplantation, can be successfully managed by agg ressive medical treatment followed by retransplantation.