Primary Invasive Intestinal Aspergillosis in a Non-Severely Immunocompromised Patient / 대한중환자의학회지
Korean Journal of Critical Care Medicine
; : 129-133, 2016.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-42559
Responsible library:
WPRO
ABSTRACT
Invasive aspergillosis (IA) is most commonly seen in patients with risk factors, such as cytotoxic chemotherapy, prolonged neutropenia, corticosteroids, transplantation and acquired immune deficiency syndrome. IA commonly occurs in the respiratory tract. Extrapulmonary aspergillosis is usually a part of a disseminated infection, and primary invasive intestinal aspergillosis is very rare. Herein, we report a case of an immunocompetent 53-year-old male who suffered recurrent septic shock in the intensive care unit (ICU) and was finally diagnosed as invasive intestinal aspergillosis without dissemination. IA is rarely considered for patients who do not have an immune disorder. Thus, when such cases do occur, the diagnosis is delayed and the clinical outcome is often poor. However, there is a growing literature reporting IA cases in patients without an immune disorder, mostly among ICU patients. Primary intestinal aspergillosis should be considered for critically ill patients, especially with severe disrupted gastrointestinal mucosal barrier.
Full text:
Available
Health context:
Neglected Diseases
Health problem:
Diarrhea
Database:
WPRIM (Western Pacific)
Main subject:
Aspergillosis
/
Respiratory System
/
Shock, Septic
/
Risk Factors
/
Acquired Immunodeficiency Syndrome
/
Immunocompromised Host
/
Critical Illness
/
Adrenal Cortex Hormones
/
Diagnosis
/
Drug Therapy
Type of study:
Diagnostic study
/
Etiology study
/
Risk factors
Limits:
Humans
/
Male
Language:
English
Journal:
Korean Journal of Critical Care Medicine
Year:
2016
Document type:
Article