Acta Médica del Centro (Jun 2014)

Invasive aspergillosis neuropulmonar

  • Arletis Ferrer Pérez,
  • Claudia Roche Albernas,
  • Johamel Ramos Valdés,
  • Carmen Patricia Alfonso González,
  • Yuniel González Cárdenas,
  • Lisandra Vázquez la Rosa,
  • Marta María Pérez de Alejo,
  • Wilfredo Domínguez Antunez,
  • Sergio Camacho Romero,
  • Eduardo Fernández Ruiz

Journal volume & issue
Vol. 8, no. 2
pp. 143 – 149

Abstract

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This is a 68 year old male patient, white, with a history of bronchial asthma , hypothyroidism, benign prostatic hyperplasia, chronic liver and chronic renal disease monitoring by Nephrology Specialist . Presented various income for respiratory diagnosed with bronchopneumonia plus low hemoglobin, the proteinuria was found in nephrotic range and the possibility of renal biopsy was assessed. Immunological studies and microbiological hemochemical and included tests, with blood cultures positive for Staphylococcus aureus. It evolved unfavorably with acid-base imbalance and marked general malaise to extreme bradycardia and death. At autopsy the presence of membranoproliferative glomerulonephritis secondary to hepatotropic viruses with chronic liver damage leading to immunosuppression and the resulting Aspergillus infestation with meningoencephalic invasion and lung was found . Invasive aspergillosis is a major cause of morbidity and mortality in immunocompromised patients.

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