São Paulo Medical Journal ()

Aspergillary bronchopneumonia: an unusual cause of atelectasis and asphyxia in a leukemic patient

  • Elvira Deolinda Rodrigues Pereira Velloso,
  • Gracia Aparecida Martinez,
  • Pedro Enrique Dorlhiac-Llacer,
  • Dalton Alencar Fischer Chamone

DOI
https://doi.org/10.1590/S1516-31801994000400004
Journal volume & issue
Vol. 112, no. 4
pp. 639 – 641

Abstract

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A 22-year-old man in his first relapse of T-acute lymphoblastic leukemia developed fever and a pulmonary infiltrate after 23 days of granulocytopenia. Although having been under amphotericin B for 10 days, productive purulent cough ensued, with right lobe atelectasis and acute ventilatory failure that resolved after the elimination of a thick gelatinous bronchial plug. Sputum cultures yielded Candida Albicans and Staphylococcus epidermidis, and microscopic examination of the sputum plug disclosed Aspergillus hyphae. The patient died 9 days after, of a disseminated Aspergillus infection, confirmed by necropsy.

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