Candidiasis hepatoesplénica en un paciente con leucemia mieloide aguda / [Hepatosplenic candidiasis in acute myeloid leukemia]

Chronic diseminated candidiasis--mainly its hepatosplenic form- is one of the most characteristic invasive infection due to Candida in haematological patients. A case is presented of a 31 year old man admitted to the Clinical Department with acute mieloid leukosis M2, showing febrile neutropenia after induction and consolidation chemotherapy. Hepatoesplenic candidiasis was diagnosed and confirmed by computered axial tomography (CAT) and hepatic biopsy; amphotericin B followed by liposome encapsuled amphotericin B up to complete a total dose of 4 g was used for treatment. The patient was discharged waiting for bone marrow transplantation. Early suspicion of hepatosplenic candidiasis helps to select a rapid diagnosis method and an effective treatment.

Estudio comparativo de los pediculos intrahepaticos en las piezas de hepatectomias por cancer del higado. / Comparative study of the intrahepatic pedunculus in surgical pieces in hepatectomies by liver neoplasms

Se investigo un grupo de controles sin tumor hepatico y otro con las vias de diseminacion de las neoplasias primarias (hepatomas) y secundarias del higado (metastasis de origen vesicular y colonico) en piezas de 8 pacientes operados. Los autores senalan la gran importancia que tiene el estudio histopatologico intraoperatorio por congelacion y diferido de las piezas