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Invasive Mucormycosis Induced Pneumopericardium: A Rare Cause of Pneumopericardium in an Immunocompromised Patient

机译:侵袭性毛霉菌病诱发的肺动脉闭锁:免疫功能低下患者的肺动脉闭锁的罕见原因

摘要

Mucor and Rhizopus cause life-threatening infections primarily involving the lungs and sinuses, which disseminate very rapidly by necrosis and infarction of the contiguous tissues. We present a case of a 64-year-old African American posttransplant patient who presented with a productive cough and weight loss. He had a past surgical history of renal transplant for renal cell carcinoma and was on dual immunosuppressive therapy, that is, mycophenolate and tacrolimus. During his hospital stay, he developed a pneumopericardium due to the direct extension of a lung lesion. The diagnosis was made by radiological imaging and PCR result which was consistent with Mucor species. He was treated with antifungal therapy. The purpose of this report is to highlight the unusual association of mucormycosis with pneumopericardium.
机译:Mucor和Rhizopus引起威胁生命的感染,主要涉及肺部和鼻窦,其通过坏死和邻近组织的梗塞迅速扩散。我们介绍了一例64岁的非洲裔美国人移植后患者,该患者出现生产性咳嗽和体重减轻。他有肾脏细胞癌肾移植手术的既往史,并且正在接受双重免疫抑制疗法,即霉酚酸酯和他克莫司。在住院期间,由于肺部病变的直接扩展,他患上了气腹。诊断是通过放射成像和PCR结果做出的,与Mucor菌种相符。他接受了抗真菌治疗。这份报告的目的是强调毛霉菌病与气腹心律失常的异常关联。

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