Adjuvant corticosteroid therapy in hepatosplenic candidiasis-related IRIS

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Cengiz Bayram
Ali Fettah
Nese Yarali *
Abdurrahman Kara
Fatih Mehmet Azik
Betül Tavil
Bahattin Tunc
(*) Corresponding Author:
Nese Yarali | neseyarali@yahoo.com

Abstract

Hepatosplenic candidiasis (HSC) is a form of invasive fungal infection that occurs most commonly in patients with acute leukemia treated with chemotherapy and requires protracted antifungal therapy. Immune reconstitution inflammatory syndrome (IRIS) is best characterized as a dysregulated inflammatory responses triggered by rapid resolution of immunosuppression.

We present a child diagnosed with standard-risk precursor B cell-acute lymphoblastic leukemia who developed HSC and Candida-related IRIS during recovery of neutropenia associated with induction chemotherapy. Addition of corticosteroid therapy to antifungal treatment is associated with the resolution of the clinical symptoms and laboratory findings

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