Reverse halo sign on chest imaging in a renal transplant recipient
| Autor: | Gilbert E. D'Alonzo, Heather Clauss, Namrata Patel, David Ciccolella, Jeffrey I. Stewart, Heba Y Durra Md |
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| Rok vydání: | 2012 |
| Předmět: |
Graft Rejection
medicine.medical_specialty Radiography Context (language use) Chest pain Tacrolimus Immunocompromised Host Prednisone medicine Humans Mucormycosis Halo sign Kidney transplantation Transplantation Lung Diseases Fungal business.industry Middle Aged Mycophenolic Acid medicine.disease Kidney Transplantation Surgery Pneumonia Infectious Diseases Female medicine.symptom business Tomography X-Ray Computed Immunosuppressive Agents medicine.drug |
| Zdroj: | Transplant infectious disease : an official journal of the Transplantation Society. 16(1) |
| ISSN: | 1399-3062 |
| Popis: | Without proper treatment, the mortality of pulmonary mucormycosis is nearly 100%. Although the diagnosis is often made histologically, it can be suspected when patients have a reverse halo sign on computed tomography (CT) of the chest, along with the right clinical findings. We describe the case of a woman 7 months post renal transplant who presented with fevers, malaise, and chest pain. Her chest CT revealed a round, focal area of ground-glass attenuation surrounded by a complete rim of consolidation in the left upper lobe, consistent with the reverse halo sign. Pulmonary mucormycosis was diagnosed by transbronchial lung biopsy. She was successfully treated with combined medical and surgical therapies. In the context of this case, we provide a brief review of the diagnosis of pulmonary mucormycosis, with a focus on radiographic and pathologic findings. |
| Databáze: | OpenAIRE |
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