Indian Journal of Respiratory Care

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VOLUME 13 , ISSUE 2 ( April-June, 2024 ) > List of Articles

CASE REPORT

Silent Invader—Unrevealing Lethal Encounter with Pulmonary Mucormycosis: A Rare Case Report

Venkat Raj, Deepak Shah, Mohit Bhatia, Munesh K Gupta, B Gowthami, Vijay Kumar, Subham Sahoo, Murli D Saini, Ratesh Buhlan

Keywords : Broad aseptate hyphae, Case report, Endobronchial lung biopsy, Invasive course, Klebsiella pneumoniae, Liposomal amphotericin B, Multidisciplinary approach, Pulmonary mucormycosis, Reverse halo sign, Salvage

Citation Information : Raj V, Shah D, Bhatia M, Gupta MK, Gowthami B, Kumar V, Sahoo S, Saini MD, Buhlan R. Silent Invader—Unrevealing Lethal Encounter with Pulmonary Mucormycosis: A Rare Case Report. Indian J Respir Care 2024; 13 (2):124-127.

DOI: 10.5005/jp-journals-11010-1110

License: CC BY-NC 4.0

Published Online: 18-06-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

A 61-year-old male having type 2 diabetes presented in the chest outpatient department with complaints of cough with expectoration, fever for 20 days, coughing out blood, and shortness of breath for 10 days. High-resolution computed tomography (HRCT) of the thorax revealed cavity consolidation in the left upper lobe showing reverse halo sign. Moreover, broad aseptate hyphae branching at right angles were observed in the potassium hydroxide (KOH) wet mount of bronchoalveolar lavage (BAL) sample, suggesting Mucorales. We labeled the case as pulmonary mucormycosis and treated with liposomal amphotericin B with correction of hyperglycemia. The patient initially responded well; however, he succumbed later due to the invasive course of the disease.


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