Pulmonary mucormycosis masquerading as endobronchial tumour in an immunocompetent pregnant young lady.
Khai Lip NgNai-Chien HuanMona Zaria NasaruddinNoorul Afidza MuhammadUmmi Nadira DautJamalul Azizi Abdul RahamanPublished in: Respirology case reports (2020)
Pulmonary mucormycosis is a rare but rapidly progressing and life-threatening fungal infection, usually affecting immunocompromised patients. We report a case of a previously healthy young lady who presented with prolonged cough, weight loss, and haemoptysis. Imaging showed left hilar mass with infiltration into the left main bronchus and concurrent mediastinal lymphadenopathy. Flexible bronchoscopy revealed an endobronchial mass occluding the left main bronchus. Tumour debulking was performed using rigid bronchoscopy with cryoprobe and snares. Histopathological examination revealed inflamed tissue with fungal organism. Fungal polymerase chain reaction (PCR) confirmed Rhizopus microsporus. She was treated with two weeks of intravenous amphotericin-B with complete clinical and radiological resolution.
Keyphrases
- ultrasound guided
- weight loss
- end stage renal disease
- pulmonary hypertension
- newly diagnosed
- ejection fraction
- chronic kidney disease
- single cell
- high resolution
- peritoneal dialysis
- lymph node
- prognostic factors
- middle aged
- pregnant women
- fine needle aspiration
- neoadjuvant chemotherapy
- body mass index
- roux en y gastric bypass
- locally advanced
- low dose
- gastric bypass
- patient reported outcomes
- intensive care unit
- patient reported
- single molecule
- preterm birth
- rectal cancer
- fluorescence imaging
- weight gain
- gestational age
- adipose tissue