A Fungal Sequela of Biliary Intervention: Candida Pyogenic Liver Abscess in Pancreatic Malignancy (ACG 2026) - Aug 29, 2026 - Abstract #P4224; Pres time: Oct 12, 2026; 10:30 AM - 04:15 PM; Location: Exhibit Halls A - D (Level 3); "He received 1st cycle of palliative gemcitabine/paclitaxel 6 days prior to presentation...He received IV fluids, blood cultures were obtained, and broad-spectrum antimicrobial therapy with vancomycin, meropenem, and micafungin was initiated...Micafungin was restarted and ceftriaxone was continued. On discharge, antimicrobials were changed to oral fluconazole, and amoxicillin/clavulanate...Figure: CT Abdomen Pelvis with and without contrast remarkable for hypodense collection containing foci of gas in the caudate lobe 4.5 x 3 cm concerning for abscess, splenomegaly, portal vein thrombosis. Figure: MRI Abdomen Pelvis with and without contrast remarkable for caudate lobe abscess, progressive multifocal cholangitis, and multifocal intrahepatic dilated biliary radicles/developing abscesses."
Biliary Cancer • Cardiovascular • Diabetes • Hepatology • Hypotension • Infectious Disease • Metabolic Disorders • Oncology • Pancreatic Adenocarcinoma • Septic Shock • Thrombosis • Type 2 Diabetes Mellitus
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Uswah Ilyas MBBS 1; Muhammad Shariq Akram MBBS 2; Muhammad Faiq Akram MD 3; Rafia Irfan Waheed MD 2
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