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Acta Médica del Centro

ISSN 1995-9494 (Electronic)
Revista del Hospital Clínico Quirúrgico "Arnaldo Milián Castro"
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2014, Number 2

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Acta Med Cent 2014; 8 (2)

Invasive aspergillosis neuropulmonar

Ferrer PA
Full text How to cite this article

Language: Spanish
References: 5
Page: 143-149
PDF size: 420.50 Kb.


Key words:

invasive pulmonary aspergillosis/mortality.

ABSTRACT

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.


REFERENCES

  1. Jarque I, Andreu R, Salavert M, Gómez D, Pemán J, Gobernado M, et al. Valor de la detección del antígeno galactomanano de Aspergillus en el diagnóstico y seguimiento de la aspergilosis invasora en pacientes hematológicos. Rev Iberoam Micol. 2003;20:116-18.

  2. Pemán J. Diagnóstico de la aspergilosis invasiva. Rev Iberoam Micol. 2000;17:90-2.

  3. Palacio A, Cuétara MS, Pontón J. La aspergilosis invasora. Rev Iberoam Micol. 2003;20:77-8.

  4. Kumar V, Abbas AK, Aster JC. Environmental and Nutritional Diseases. En: Robbins Basic Pathology. 8va ed. Philadelphia: Elsevier; 2013. p. 269-307.

  5. Rosai J. Rosai and Ackerman's Surgical Pathology. 10th ed. New York: Elsevier; 2011.




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Acta Med Cent. 2014;8