Invasive pulmonary Aspergyllosis in COPD patient

Authors

  • María Luisa García-Aguinaga Servicio de Medicina Interna, Hospital de El Escorial, San Lorenzo de El Escorial (Madrid). Facultad de Medicina, Universidad Francisco de Vitoria, Madrid, España https://orcid.org/0000-0003-2046-7057
  • Clara Tamiri Rodríguez-González Servicio de Medicina Familiar y Comunitaria, Hospital de El Escorial, San Lorenzo de El Escorial (Madrid), Spain https://orcid.org/0000-0001-7760-955X
  • Edgar Joseph Sabado-Angngasing Servicio de Medicina Familiar y Comunitaria, Hospital de El Escorial, San Lorenzo de El Escorial (Madrid), Spain https://orcid.org/0000-0003-2060-8358
  • Rafael Velayos-Rubio Servicio de Urgencias, Hospital Universitario Infanta Leonor, Madrid, Spain https://orcid.org/0000-0003-4498-1341
  • Juan González-González Servicio de Medicina Interna, Hospital de El Escorial, San Lorenzo de El Escorial (Madrid), España https://orcid.org/0000-0001-6404-0931

DOI:

https://doi.org/10.32818/reccmi.a5n1a12

Keywords:

invasive pulmonary aspergillosis, aspergillus fumigatus, chronic obstructive pulmonary disease (COPD), fever of unknown origin.

Abstract

Severe COPD patient admitted to hospital with sustained fever, dyspnea, productive cough and constitutional syndrome, following several hospitalizations in the previous months due to superinfection with Pseudomonas aeruginosa. After investigation, the chronic form of Invasive Pulmonary Aspergillosis was diagnosed. The patient was treated with antifungals for 8 weeks, achieving clinical and radiological improvement, and sputum negativization. A high index of suspicion of this entity is very important for early diagnosis and early treatment in bronchopaths, since mortality has been estimated to reach 80-95% in untreated patients.

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References

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Published

2020-04-30

How to Cite

1.
García-Aguinaga ML, Rodríguez-González CT, Sabado-Angngasing EJ, Velayos-Rubio R, González-González J. Invasive pulmonary Aspergyllosis in COPD patient. Rev Esp Casos Clin Med Intern [Internet]. 2020 Apr. 30 [cited 2024 Nov. 24];5(1):33-5. Available from: https://www.reccmi.com/RECCMI/article/view/476