Candida tropicalis Liver Abscess in an Immunocompromised Patient With Pancreatic Head Cancer on 68 Ga-FAPI PET/CT.

Candida infections have become a growing concern to the immunocompromised patients with cancer. We report a case of liver abscess causing Candida tropicalis candidemia in an immunocompromised patient with pancreatic head cancer on 68 Ga-FAPI PET/CT. A 77-year-old man had a history of 10-year duration of uncontrolled diabetes, the presence of neutropenia, immunocompromised condition, and the progression of pancreatic cancer despite the 14 cycles of chemotherapy and palliative radiotherapy. After 3 weeks of radiotherapy, he presented with fever and elevated CRP level. 68 Ga-FAPI PET/CT scan showed new intense uptake in the liver, and 2 pairs of blood culture revealed C. tropicalis.