کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
2864493 | 1573199 | 2010 | 4 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Lung Scedosporiosis in Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome
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موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
کاردیولوژی و پزشکی قلب و عروق
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چکیده انگلیسی
A 31-year-old African American woman with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/ AIDS) (recent CD4 count of 66/mm3) presented to the emergency room with a tension pneumothorax that required an emergent chest tube placement. Computed tomography scan showed fungus balls in multiple lung cavities and surrounding infiltrates. The patient showed remarkable improvement with voriconazole suggesting aspergillosis. However, the patient was serologically negative for Aspergillus and other common fungal infections. Because of a persistent air leak, surgical intervention was needed. The histological finding was consistent with invasive mycosis, and cultures were positive for Scedosporium apiospermum. Literature review showed that, among patients with HIV/AIDS, Scedosporium can present from focal localized to systemic disease, is resistant to traditional antifungal agents, and may respond to prompt management with voriconazole.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of the Medical Sciences - Volume 339, Issue 3, March 2010, Pages 300-303
Journal: The American Journal of the Medical Sciences - Volume 339, Issue 3, March 2010, Pages 300-303
نویسندگان
Siva T. MD, PhD, Skantha K. MD, Amado X. MD, MPH, Heather S. MD, David B. MD,