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Journal

2012 | 7 | 1 | 108-111

Article title

Necrotizing pulmonary aspergillosis caused by anorexic syndrome - a case report

Content

Title variants

Languages of publication

EN

Abstracts

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.

Publisher

Journal

Year

Volume

7

Issue

1

Pages

108-111

Physical description

Dates

published
1 - 2 - 2012
online
24 - 11 - 2011

Contributors

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

References

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Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_2478_s11536-011-0109-y
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