4.1 Article

Hepatic Candidiasis in an Immunocompetent Patient: A Diagnostic Challenge

Journal

CUREUS JOURNAL OF MEDICAL SCIENCE
Volume 13, Issue 3, Pages -

Publisher

CUREUS INC
DOI: 10.7759/cureus.13935

Keywords

hepatic abscess; candidiasis; immunocompetent; computed tomography abdomen

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Hepatic candidiasis is rare in immunocompetent patients but should be considered in the differential diagnosis of hepatic abscesses. Timely diagnosis and management are crucial for a good prognosis.
Hepatic candidiasis is a manifestation of disseminated candidiasis, which typically presents in immunocompromised patients. Focal hepatic candidiasis in immunocompetent patients, however, is infrequent/extremely rare. We present the case of an immunocompetent female patient who presented with respiratory distress and right-sided pleural effusion. The pleural fluid tap did not grow anything, and a contrast-enhanced computed tomography (CT) scan revealed a right liver lobe subcapsular collection. CT-guided aspiration and culture resulted in Candida albicans growth. The patient responded to oral fluconazole, and a follow-up CT scan demonstrated resolution of the collection. Although hepatic candidiasis rarely occurs in immunocompetent patients, it should be included in the differential diagnosis of hepatic abscesses, as timely diagnosis and management are crucial in conferring a good prognosis.

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