Massive pulmonary necrosis due to mycosis
Keywords:
lung diseases, fungal, pulmonary aspergillosis, invasive pulmonary aspergillosis.Abstract
Introduction: Aspergillosis is an opportunistic fungal infection that occurs mainly in immunosuppressed patients and its main source of transmission is the spores present in the air of operating rooms and intensive care units.Objective: To present a case of a massive pulmonary mycosis due to an angioinvasive variant of Aspergillus.
Clinical case: A patient with severe pulmonary aspergillosis, diagnosed after resection of a mediastinal tumor, is presented. The characteristics of the first intervention are described, the postoperative evolution that led to the second one, the tomographic, surgical, microbiological and anatomo-pathological images that allowed to define the diagnosis are shown.
Conclusions: The possibility of a pulmonary mycosis should be taken into account, even when it is a rare and difficult-to-handle condition, in immunocompromised patients, with pulmonary condensation that is rebellious to treatment. Aspergillosis is an opportunistic fungal infection that occurs mainly in immunosuppressed patients and its main source of transmission is the spores present in the air of operating rooms and intensive care units.
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References
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6. Budpa P, Dive A, Sibille Y. Invasive pulmonary aspergillosis in patients with chronic obstructive pulmonary disease. Eur Respir J. 2007[acceso: 08/05/2019];30:782-800. Disponible en: https://erj.ersjournals.com/content/30/4/782.short
7. Messer SA, Jones RN, Fritsche TR. International surveillance of Candida spp. and Aspergillus spp.: report from the SENTRY Antimicrobial Surveillance Program (2003). J Clin Microbiol. 2006[acceso: 10/05/2019];44(5):1782-7. Disponible en: https://jcm.asm.org/content/44/5/1782
8. Meersseman W, Vandecasteele SJ, Wilmer A, Verbeken E, Peetermans WE, Van Wijngaerden E. Invasive aspergillosis in critically ill patients without malignancy. Am J Respir Crit Care Med. 2004[acceso: 10/05/2019];170(6):621-5. Disponible en: https://www.atsjournals.org/doi/full/10.1164/rccm.200401-093OC
9. Saraceno JL, Phelps DT, Ferro TJ, Futerfas R, Schwartz DB. Chronic necrotizing aspergillosis: Approach to management.Rev Iberoam Micol.1997[acceso: 10/05/2019]; 112(2):541-48. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0012369215530316
Published
2020-08-02
How to Cite
1.
Valdés Torres RM, Hernández Echavarría ML. Massive pulmonary necrosis due to mycosis. Rev Cubana Med Milit [Internet]. 2020 Aug. 2 [cited 2025 Apr. 3];49(3):e0200456. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/456
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