Fatal acute granulomatous pulmonary aspergillosis in a healthy subject after inhalation of vegetal dust

被引:11
作者
Batard, E
Renaudin, K
Morin, O
Desjars, P
Germaud, P [1 ]
机构
[1] CHU, Hop Laennec, Clin Pneumol, F-44800 St Herblain, France
[2] CHU Nantes, Serv Urgences, F-44035 Nantes 01, France
[3] CHU Nantes, Anat Pathol Lab, F-44035 Nantes 01, France
[4] CHU Nantes, Lab Parasitol Mycol, F-44035 Nantes 01, France
[5] CHU Nantes, Serv Reanimat Med Polyvalente, F-44035 Nantes 01, France
关键词
D O I
10.1007/s10096-003-0939-x
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
A previously healthy 28-year-old man presented a few hours after inhalation of vegetal dust with acute bilateral community-acquired pneumonia, which caused death in 10 days despite treatment with broad-spectrum antibiotics, intravenous amphotericin B, inotropic support, and mechanical ventilation. A postmortem lung biopsy indicated miliary granulomatous pulmonary aspergillosis. Six similar previously published cases of acute granulomatous pulmonary aspergillosis are reviewed. This entity in adulthood may reveal a defect in neutrophil or macrophage function, such as late-onset chronic granulomatous disease.
引用
收藏
页码:357 / 359
页数:3
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