Joel L Ramirez, Anatoly Urisman, Jasleen Kukreja, Johannes R Kratz
{"title":"Surgical Management of Pulmonary Mucormycosis in Third-Trimester Pregnancy.","authors":"Joel L Ramirez, Anatoly Urisman, Jasleen Kukreja, Johannes R Kratz","doi":"10.1055/s-0038-1660806","DOIUrl":null,"url":null,"abstract":"<p><p><b>Background</b> Pulmonary mucormycosis is a rare fungal infection that carries a high mortality. Given the rarity of this disease, its management has not been well established. <b>Case Description</b> We report a 36-year-old female presenting with right middle and lower lobe pulmonary mucormycosis during the third trimester of pregnancy. Diagnosis was established using chest computed tomography followed by bronchoalveolar lavage and lung biopsy. Prompt initiation of amphotericin B and right middle and lower lobe lobectomy resulted in maternal survival and fetal viability. <b>Conclusion</b> This favorable outcome is attributed to extensive communication between treatment teams in addition to comprehensive surgical planning.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"7 1","pages":"e27-e29"},"PeriodicalIF":0.0000,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0038-1660806","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Thoracic and Cardiovascular Surgeon Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1055/s-0038-1660806","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2018/6/28 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 2
Abstract
Background Pulmonary mucormycosis is a rare fungal infection that carries a high mortality. Given the rarity of this disease, its management has not been well established. Case Description We report a 36-year-old female presenting with right middle and lower lobe pulmonary mucormycosis during the third trimester of pregnancy. Diagnosis was established using chest computed tomography followed by bronchoalveolar lavage and lung biopsy. Prompt initiation of amphotericin B and right middle and lower lobe lobectomy resulted in maternal survival and fetal viability. Conclusion This favorable outcome is attributed to extensive communication between treatment teams in addition to comprehensive surgical planning.