IPLab:Lab 10:Candidiasis

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Clinical Summary

This 73-year-old black male was in good health until about three months before his death when he noticed enlarged lymph nodes first in both inguinal regions and later elsewhere. Antileukemic therapy was begun. About two weeks prior to his death the patient presented to the emergency room with uncontrollable epistaxisEpistaxis is bleeding from the nose.. On physical examination, the liver was palpable but the spleen was not. The white blood count was below normal and consisted mainly of lymphocytes with many atypical cells. The patient's bone marrow was also found to be heavily loaded with lymphocytes. Platelets were extremely low and remained so despite platelet transfusions. Subsequently, the patient developed pneumoniaIn alcoholics, aspiration pneumonia is common--bacteria enter the lung via aspiration of gastric contents. which progressed until death. Antemortem cultures yielded Candida tropicalis and Pseudomonas aeruginosa.

Autopsy Findings

At autopsy, there was evidence of disseminated candidiasis.


Study Questions

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