caa a22 4500 465772811 CHVBK 20180323111933.0 cr unu---uuuuu 170327e19900201xx s 000 0 eng 10.1007/BF00178230 doi (NATIONALLICENCE)springer-10.1007/BF00178230 Fungal splenic abscesses: management in childhood leukemia [Elektronische Daten] [Louis Marmon, Charles Vinocur, Robert Wimmer, Stanley Konefal, William Weintraub] Fungal splenic abscesses are a potentially fatal complication of childhood leukemia, especially during hematologic relapse. Optimal treatment requires splenectomy combined with amphotericin B therapy. Previous reports have suggested that splenectomy should not be performed prior to complete control of the relapse. Three children with relapsed acute lymphocytic leukemia developed fever and splenomegaly, two during the re-induction phase of chemotherapy and the third within 1 month after a second remission. Imaging studies revealed non-homogeneity of the spleen. Uneventful splenectomy was performed for both diagnostic and therapeutic purposes before the return of normal hematopoiesis. Our results indicate that splenectomy for treatment of fungal abscesses can be successfully undertaken before complete hematologic remission is accomplished. Springer-Verlag, 1990 Splenic abscesses nationallicence Fungal sepsis nationallicence Leukemia nationallicence Splenectomy nationallicence Marmon Louis Department of Surgery and Pediatrics, Temple University School of Medicine, St. Christopher's Hospital for Children, 2600 North Lawrence Street, 19133, Philadelphia, PA, USA aut Vinocur Charles Department of Surgery and Pediatrics, Temple University School of Medicine, St. Christopher's Hospital for Children, 2600 North Lawrence Street, 19133, Philadelphia, PA, USA aut Wimmer Robert Department of Surgery and Pediatrics, Temple University School of Medicine, St. Christopher's Hospital for Children, 2600 North Lawrence Street, 19133, Philadelphia, PA, USA aut Konefal Stanley Department of Surgery and Pediatrics, Temple University School of Medicine, St. Christopher's Hospital for Children, 2600 North Lawrence Street, 19133, Philadelphia, PA, USA aut Weintraub William Department of Surgery and Pediatrics, Temple University School of Medicine, St. Christopher's Hospital for Children, 2600 North Lawrence Street, 19133, Philadelphia, PA, USA aut Pediatric Surgery International Springer-Verlag 5/2(1990-02-01), 118-120 0179-0358 5:2<118 1990 5 383 https://doi.org/10.1007/BF00178230 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00178230 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Marmon Louis Department of Surgery and Pediatrics, Temple University School of Medicine, St. Christopher's Hospital for Children, 2600 North Lawrence Street, 19133, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Vinocur Charles Department of Surgery and Pediatrics, Temple University School of Medicine, St. Christopher's Hospital for Children, 2600 North Lawrence Street, 19133, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Wimmer Robert Department of Surgery and Pediatrics, Temple University School of Medicine, St. Christopher's Hospital for Children, 2600 North Lawrence Street, 19133, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Konefal Stanley Department of Surgery and Pediatrics, Temple University School of Medicine, St. Christopher's Hospital for Children, 2600 North Lawrence Street, 19133, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Weintraub William Department of Surgery and Pediatrics, Temple University School of Medicine, St. Christopher's Hospital for Children, 2600 North Lawrence Street, 19133, Philadelphia, PA, USA aut NATIONALLICENCE 773 0- Pediatric Surgery International Springer-Verlag 5/2(1990-02-01), 118-120 0179-0358 5:2<118 1990 5 383 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer