Diagnosis of disseminated candidiasis by fine needle aspiration of lymph node and by splenic imprint in a patient with acute promyelocytic leukemia

Tsu Yi Chao, Jang Yang Chang, Chih Yung Yu, Tang Yi Tsao

Research output: Contribution to journalArticle

4 Citations (Scopus)


Cytologic studies were done on fine needle aspirates of the lymph node and imprints of splenic biopsies from a patient with acute promyelocytic leukemia who was febrile while being treated with chemotherapy. Examination of the lymph node aspirates revealed pus and numerous pseudohyphae which were later identified as Candida tropicalis. When multiple nodular lesions were detected in the spleen by abdominal sonography and CT scan, needle biopsy of the spleen was done. Cytologic examination of touch imprints of the biopsy disclosed intracellular fungal blastospores. The patient was treated with and responded well to amphotericin B and 5-fluorocytosine. As a result of our experience with this patient we emphasize the importance of close incorporation of clinical information and diagnostic cytology. With such a cooperation, cytologic studies become a most useful method for diagnosis.

Original languageEnglish
Pages (from-to)148-151
Number of pages4
JournalActa Haematologica
Issue number3
Publication statusPublished - 1995
Externally publishedYes



  • Candidiasis, disseminated
  • Fine needle aspiration cytology
  • Leukemia, acute promyelocytic

ASJC Scopus subject areas

  • Hematology

Cite this