[Candida abscesses in the liver and spleen. The sonographic and computed tomographic morphology]

In three patients with acute leukemia candidal abscesses occurred. In spite of ready response to induction chemotherapy, septic fever as well as hepatic and splenic enlargement were observed. Broad-spectrum antibiotics did not improve the patients' condition either. Ultrasonography of liver and spleen revealed multiple, small echolucent foci and target lesions. Computed tomography detected multiple, hypodense foci 1-2 cm in diameter; after contrast medium application there was no enhancement. Candidal septicaemia was demonstrated in all three patients.