Gardening can induce pulmonary failure: Aspergillus ARDS in an immunocompetent patient, a case report.
BMC Infect Dis
; 14: 600, 2014 Nov 26.
Article
en En
| MEDLINE
| ID: mdl-25425351
ABSTRACT
BACKGROUND:
Acute Aspergillus fumigatus infection in immunocompetent patients is rare. This is the first known case of a patient who survived Aspergillus sepsis after being treated early with veno-venous extracorporeal membrane (ECMO) and antifungal therapy. CASE PRESENTATION An immunocompetent 54-year-old woman was exposed to plant mulch during gardening and subsequently developed pulmonary failure that progressed to sepsis with multiorgan failure. Owing to her severe clinical condition, she was treated for acute respiratory distress syndrome (ARDS) with veno-venous ECMO. Empiric antifungal therapy comprising voriconazole was also initiated owing to her history and a previous case report of aspergillosis after plant mulch exposure, though there was no microbiological proof at the time. A. fumigatus was later cultured and detected on antibody testing. The patient recovered, and ECMO was discontinued 1 week later. After 7 days of antifungal treatment, Aspergillus antibodies were undetectable.CONCLUSIONS:
In cases of sepsis that occur after gardening, clinicians should consider Aspergillus inhalation as an aetiology, and early antimycotic therapy is recommended.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Aspergillus fumigatus
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Síndrome de Dificultad Respiratoria
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Sepsis
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Jardinería
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Aspergilosis Pulmonar
Límite:
Female
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Humans
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Middle aged
Idioma:
En
Revista:
BMC Infect Dis
Asunto de la revista:
DOENCAS TRANSMISSIVEIS
Año:
2014
Tipo del documento:
Article
País de afiliación:
Alemania