A case of pulmonary mucormycosis in a 45-year-old man, with unusual ancillary manifestations
Lung India
; 39(SUPPL 1):S136-S137, 2022.
Article
in English
| EMBASE | ID: covidwho-1857457
ABSTRACT
Background:
Mucormycosis is an invasive-fungal infection, often associated with extremely severe complications in immuno-compromised patients. The prevalence of mucormycosis in India is about 80 times higher than other developed countries. But the clinical presentation of pulmonary mucormycosis has wide diversity. Case Study We are reporting a case of a 45-year-old man admitted to our side as a case of post-COVID sequelae in the setting of a new left sided loculated pyo-pneumothorax. He is a known case of type 2 diabetes and hypothyroidism for 1.5 years and 3 years respectively. Prior to our rescue, he underwent pigtail insertion in the loculated collection, but there was no output. So, the drain was removed and the patient was planned for pneumonectomy. On visiting to our side, appropriate investigation and interventions were done. On bronchoscopy a large fungating fragile blackish growth was seen coming out from left main bronchus. Histopathological report of the endobronchial biopsy revealed mucormycosis. The patient was planned for Liposomal Amphotericin-B (LAMB) but unfortunately developed anaphylaxis. He was managed accordingly and was taken on oral Posaconazole therapy. On follow up visit remarkable clinical and radiological improvement was noted.Discussion:
The above-mentioned case showed the management of a not so mimicking case of usual pulmonary mucormycosis without opting for surgical intervention. Thus, limiting the patient from the postsurgical complications.Conclusion:
This case illustrates the heterogeneousness of mucormycosis, regardless of patient profile. Bronchoscopic findings and mycology report helped us to rule out other differential diagnosis.
amphotericin B lipid complex; posaconazole; adult; anaphylaxis; bronchoscopy; case report; clinical article; complication; conference abstract; coronavirus disease 2019; diabetes mellitus; differential diagnosis; drain; drug therapy; follow up; histopathology; human; hypothyroidism; main bronchus; male; middle aged; mucormycosis; mycology; non insulin dependent diabetes mellitus; pneumonectomy; pneumothorax; postoperative complication; surgery
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Collection:
Databases of international organizations
Database:
EMBASE
Language:
English
Journal:
Lung India
Year:
2022
Document Type:
Article
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