amphotericin-b and Hepatitis--Alcoholic

We report the case of a 34-year-old woman, suffering from severe alcoholic hepatitis and an acute recurrence of chronic pancreatitis, who developed a life-threatening candida infection of pancreatic pseudocysts 12 days after ERCP. After percutaneous catheter drainage under ultrasound guidance this infection was healed by a combined intravenous and intracavity therapy with amphotericin B and the final instillation of tetracycline in order to reinforce obliteration of the pseudocysts.

Topics: Adult; Amphotericin B; Candidiasis; Cholangiopancreatography, Endoscopic Retrograde; Drug Therapy, Combination; Female; Hepatitis, Alcoholic; Humans; Pancreatic Pseudocyst; Tetracycline; Tomography, X-Ray Computed

A case of granulomatous prostatitis due to Cryptococcus neoformans is reported. The patient, who had a history of diabetes mellitus and chronic active hepatitis, had symptoms of prostatic hypertrophy. Tissue obtained from surgery showed granulomatous prostatitis, and a cryptococcal organism was identified by special stains. Postoperative cultures grew Cryptococcus neoformans, and the patient was treated successfully with surgery and a short course of amphotericin B. After nine months of follow-up, there is no evidence of systemic infection.

Topics: Amphotericin B; Cryptococcosis; Cryptococcus neoformans; Diabetes Complications; Hepatitis, Alcoholic; Humans; Male; Middle Aged; Prostatectomy; Prostatitis