Neumonía complicada con cavitación e infección por aspergillus. A propósito de un caso
- Lucía Romero-Acevedo 1
- Selena Gala Aguilera-García 1
- Rosa Ros-Vilamajó 1
- Rubén Hernández-Luis 1
- Geraldine Quintero-Platt 1
- Emilio González-Reimers 1
- 1 Servicio de Medicina Interna. Hospital Universitario de Canarias. España
ISSN: 1697-5529
Ano de publicación: 2016
Número: 12
Páxinas: 1-5
Tipo: Artigo
Outras publicacións en: Majorensis: Revista Electrónica de Ciencia y Tecnología
Resumo
Aspergillosis are opportunistic infections caused by fungus from Aspergillus species. There are plenty of clinical forms, but the one with the worst prognostic is invasive aspergillosis, more frequent pulmonary aspergillosis (80-90%). Chronic necrotic pneumonia affects fundamentally, but not exclusively, immunodeficient patients. Clinical manifestations include chronic cough, hemoptysis, fever, asthenia, weight loss, dyspnoea and chest pain. This is a 69 year-old patient who comes to the emergency room with cough and expectoration with mild hemoptysis, asthenia and fever. The patient had a positive result to Influenza B virus and pulmonary infiltrate, which did not improve despite antibiotic therapy. A CT scan was performed, and a cavitated pulmonary pneumonia was evidenced. For this reason a Galactomanano test was performed, with positive result, so the patient was diagnosed with invasive pulmonary aspergillosis. The patient also suffered chest pain with elevated cardiac enzymes, with no coronary lesions. She was diagnosed with a possible myopericarditis caused by Influenza B virus. This case shows the importance of suspicion of an Aspergillus infection whenever there is a pulmonary infiltrate that does not improve despite antibiotic therapy, and especially if there is a cavitated pulmonary pneumonia. Additionally myopericarditis is a syndrome that in some cases is related to Influenza B virus.