Document Detail


Fatal massive hemoptysis in a patient on low-dose oral prednisone: chronic necrotizing pulmonary aspergillosis.
MedLine Citation:
PMID:  17319045     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a case of chronic necrotizing aspergillosis in a 74-year-old man with chronic lung disease, who was on low-dose prednisone. The patient was treated with various antibiotics but had no improvement. Sample obtained via bronchoscopy grew Aspergillus, and the patient was started on lipid formulation amphotericin B. Three days after admission the patient developed fatal massive hemoptysis, presumably secondary to acquired systemic-to-pulmonary vascular communication. This is an unusual presentation of a rare manifestation of pulmonary aspergillosis. A high index of suspicion is needed to diagnose this susceptible patients.
Authors:
Bobbak Vahid; Paul Marik
Related Documents :
22021005 - The effects of systemic {alpha}1-adrenoreceptor antagonists on pupil diameter.
17976465 - Influence of chronic obstructive pulmonary disease on postoperative lung function and c...
15716315 - Evaluation of interstitial lung disease in mixed connective tissue disease (mctd).
653325 - Small airways function in pulmonary sarcoidosis.
18930475 - Serum erythrocyte sedimentation rate is higher among ethnic south asian compared to eth...
6709715 - Ankle and subtalar motion during gait in arthritic patients.
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Respiratory care     Volume:  52     ISSN:  0020-1324     ISO Abbreviation:  Respir Care     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2007-02-23     Completed Date:  2007-03-20     Revised Date:  2008-02-19    
Medline Journal Info:
Nlm Unique ID:  7510357     Medline TA:  Respir Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  56-8     Citation Subset:  IM    
Affiliation:
Department of Pulmonary and Critical Care Medicine, Thomas Jefferson University, Philadelphia, PA 19107, USA. bobbak.vahid@mail.tju.edu
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Aspergillosis, Allergic Bronchopulmonary* / complications,  drug therapy,  pathology
Aspergillus fumigatus / isolation & purification
Chronic Disease
Fatal Outcome
Glucocorticoids / administration & dosage*,  therapeutic use
Hemoptysis / diagnosis,  etiology*
Humans
Lung / microbiology,  pathology,  radiography
Male
Necrosis
Prednisone / administration & dosage*,  therapeutic use
Severity of Illness Index
Tomography, X-Ray Computed
Chemical
Reg. No./Substance:
0/Glucocorticoids; 53-03-2/Prednisone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Comparison of clinical efficacy of topical tazarotene 0.1% cream with topical clobetasol propionate ...
Next Document:  Does collaborative remembering reduce false memories?