A young immunocompetent patient with spontaneous Aspergillus empyema who developed severe eosinophilia
| Autor: | Yoshiaki Nagai, Fumiaki Kudo, Hiromitsu Ohta, Shinichiro Koyama, Kentaro Minegishi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Pleural effusion Case Report Aspergillus fumigatus 03 medical and health sciences ABPA allergic bronchopulmonary aspergillosis 0302 clinical medicine Eosinophilia Medicine skin and connective tissue diseases ANCA anti-neutrophil cytoplasmic antibodies IgE immunoglobulin E lcsh:RC705-779 Aspergillus Fungus biology business.industry lcsh:Diseases of the respiratory system respiratory system medicine.disease biology.organism_classification Empyema Surgery respiratory tract diseases CT computed tomography 030228 respiratory system Pneumothorax CRP C-reactive protein Allergic bronchopulmonary aspergillosis medicine.symptom Aspergillus empyema business Complication 030217 neurology & neurosurgery WBC white blood cell |
| Zdroj: | Respiratory Medicine Case Reports Respiratory Medicine Case Reports, Vol 22, Iss C, Pp 220-223 (2017) |
| ISSN: | 2213-0071 |
| Popis: | Aspergillus empyema is usually reported as a complication of surgical procedures, and spontaneous cases are quite rare. Here, we describe the case of a 16-year-old man who suddenly developed dyspnea despite previously being healthy. Chest computed tomography showed multiple mass-containing cavity lesions, pneumothorax, and pleural effusion in the left thorax. Within 2 weeks, Aspergillus fumigatus grew from his pleural effusion, thus he was diagnosed with Aspergillus empyema. He also developed severe eosinophilia after admission, and was treated with anti-fungal drugs. Although there are many factors that can cause eosinophilia, we suspect that infection with Aspergillus fumigatus was the major cause of the eosinophilia in this patient. The lack of bronchial symptoms and lesions were not consistent with a diagnosis of allergic bronchopulmonary aspergillosis. As far as we know, this is the first case of spontaneous Aspergillus empyema resulting in severe eosinophilia. |
| Databáze: | OpenAIRE |
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