Necrotizing pulmonary aspergillosis caused by anorexic syndrome - a case report

• Autorzy: Tatjana Pejčić , Ivana Stanković , Ivanka Djordjević , Dušica Pavlović , Tatjana Petković , Tatjana Stoimenov , Desa Borovac
• Języki publikacji: EN

Abstrakty

EN

The patient presented is a 44-year-old female treated for cavitary changes in the lung apexes. Due to suspected tuberculosis, treatment began with anti-tuberculosis (AT) drugs, despite negative sputum smears for acid-fast bacilli. During hospitalization, the patient was febrile (up to 38°C), hypotensive, extremely cachectic (32 kg), had a dry cough, increased nitrogen products, hypokalemia and anemia. Because of poor response to the applied AT therapy, bronchoscopic tests were repeated and spores of aspergillus fungus were discovered in the pathohistological findings of transbronchial lung biopsy. The appropriate treatment with amphotericin B and voriconazole was initiated. A psychiatric opinion was requested because we suspected that the patient suffered from the anorexic syndrome (anorexia nervosa). This diagnosis was confirmed by a psychiatrist; her psychiatric treatment began simultaneously with the treatment in our facility. Anorexia was the cause of the cachexia, immunodeficiency and invasive pulmonary aspergillosis. The disorder was not recognized before the manifestation of the somatic disorder. There is little data in the available literature on the association between these two diseases.

Słowa kluczowe

EN

Pulmonary aspergillosis; Anorexia nervosa

• Czasopismo: Open Medicine
• Rocznik: 2012
• Tom: 7
• Numer: 1
• Strony: 108-111

Daty

wydano

2012-02-01

online

2011-11-24

Twórcy

autor

Tatjana Pejčić

• Faculty of Medicine, Clinic for Lung Diseases ant TBC, 18000, Nis, Serbia,

autor

Ivana Stanković

• Faculty of Medicine, Clinic for Lung Diseases ant TBC, 18000, Nis, Serbia

autor

Ivanka Djordjević

• Faculty of Medicine, Clinic for Lung Diseases ant TBC, 18000, Nis, Serbia

autor

Dušica Pavlović

• Faculty of Medicine, Institute for Biochemistry, 18000, Nis, Serbia

autor

Tatjana Petković

• Faculty of Medicine, Clinic for Lung Diseases ant TBC, 18000, Nis, Serbia

autor

Tatjana Stoimenov

• Faculty of Medicine, Institute for Biochemistry, 18000, Nis, Serbia

autor

Desa Borovac

• Faculty of Medicine, Clinic for Lung Diseases ant TBC, 18000, Nis, Serbia

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Identyfikatory

DOI

10.2478/s11536-011-0109-y