| Acute community-acquired pneumonia due to Aspergillus in presumably immunocompetent hosts: clues for recognition of a rare but fatal disease. | |
MedLine Citation:
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PMID: 9726758 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This article reports a case of acute community-acquired pneumonia due to Aspergillus fumigatus in a healthy patient and reviews 11 previously reported cases occurring in presumably immunocompetent hosts. The diagnosis was delayed for all patients; mortality was 100%. Clues that might suggest Aspergillus as a pathogen in community-acquired pneumonia include a chest radiograph revealing diffuse infiltrates or new cavitation; lack of bacterial or viral cause; a preceding influenza A infection; and respiratory secretion cultures positive for Aspergillus. When these clues are present, the physician should consider an early biopsy of lung tissue. Increased recognition and more timely diagnosis in future cases will improve the outcome of this rare but fatal infection. |
Authors:
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C J Clancy; M H Nguyen |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Chest Volume: 114 ISSN: 0012-3692 ISO Abbreviation: Chest Publication Date: 1998 Aug |
Date Detail:
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Created Date: 1998-09-15 Completed Date: 1998-09-15 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 0231335 Medline TA: Chest Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 629-34 Citation Subset: AIM; IM |
Affiliation:
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University of Florida College of Medicine, Department of Medicine, Gainesville 32610, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adolescent Adult Aged Aspergillosis / complications* Aspergillus fumigatus / isolation & purification* Biopsy Child Child, Preschool Community-Acquired Infections / diagnosis, etiology, microbiology Fatal Outcome Female Humans Immunocompromised Host* Infant Lung / microbiology Lung Diseases, Fungal / diagnosis, etiology*, microbiology Male Middle Aged Pneumonia / diagnosis, etiology*, microbiology Radiography, Thoracic Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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