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Invasive Pulmonary Aspergillosis after Influenza A Infection in an Immunocompetent Patient / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases ; : 260-263, 2013.
Artículo en Inglés | WPRIM | ID: wpr-194717
ABSTRACT
Invasive aspergillosis has emerged as a major cause of life-threatening infections in immunocompromised patients. Recently, patients with chronic obstructive pulmonary disease, who have been receiving corticosteroids for a long period, and immunocompetent patients in the intensive care unit have been identified as nontraditional hosts at risk for invasive aspergillosis. Here, we report a case of invasive pulmonary aspergillosis after influenza in an immunocompetent patient. The patient's symptoms were nonspecific, and the patient was unresponsive to treatments for pulmonary bacterial infection. Bronchoscopy revealed mucosa hyperemia, and wide, raised and cream-colored plaques throughout the trachea and both the main bronchi. Histologic examination revealed aspergillosis. The patient recovered quickly when treated systemically with voriconazole, although the reported mortality rates for aspergillosis are extremely high. This study showed that invasive aspergillosis should be considered in immunocompetent patients who are unresponsive to antibiotic treatments; further, early extensive use of all available diagnostic tools, especially bronchoscopy, is mandatory.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Virus de la Influenza A / Aspergilosis / Infecciones Bacterianas / Tráquea / Bronquios / Broncoscopía / Mortalidad / Huésped Inmunocomprometido / Corticoesteroides / Enfermedad Pulmonar Obstructiva Crónica Tipo de estudio: Estudio pronóstico Límite: Humanos Idioma: Inglés Revista: Tuberculosis and Respiratory Diseases Año: 2013 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Virus de la Influenza A / Aspergilosis / Infecciones Bacterianas / Tráquea / Bronquios / Broncoscopía / Mortalidad / Huésped Inmunocomprometido / Corticoesteroides / Enfermedad Pulmonar Obstructiva Crónica Tipo de estudio: Estudio pronóstico Límite: Humanos Idioma: Inglés Revista: Tuberculosis and Respiratory Diseases Año: 2013 Tipo del documento: Artículo