D59. FUNGAL INFECTION CASE REPORTS最新文献

{"title":"Disseminated Blastomycosis in an Immunocompetent Host","authors":"L. Bushmann, M. Reddy, M. Srour, S. Maughan, N. Malhotra","doi":"10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a6876","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a6876","url":null,"abstract":"","PeriodicalId":296268,"journal":{"name":"D59. FUNGAL INFECTION CASE REPORTS","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121724081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Unusual Infection in an Immunocompetent Male of a Non-Endemic Area: Lessons from a Vacation","authors":"R. Neupane, M. Sharma, D. Sharma, R. Thachil, M. Krishnamurthy, Gerald F. Lowman","doi":"10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a6881","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a6881","url":null,"abstract":"Primary pulmonary histoplasmosis is found worldwide, and is particularly endemic in some areas of the North America, usually those surrounding the Ohio and Mississippi river valleys. It is not common in the East Coast of the United States, and is in fact, reportable in Pennsylvania. It has been rarely described in immunocompetent individuals residing in a non-endemic region. We present a case of a previously healthy middle-aged male, a Pennsylvania resident, who presented with mid-sternal chest discomfort, fatigue, chills and mild shortness of breath, and was diagnosed with primary pulmonary histoplasmosis. Introduction Histoplasma capsulatum is a thermally dimorphic fungus that is particularly found in environments with soil containing the droppings of birds or bats that are often decaying or decayed. When there is any disruption, it can cause the release of the fungal particles with subsequent inhalation by a potential host. Thus, it primarily affects the lungs, but other organs can also be affected. Primary pulmonary histoplasmosis is found worldwide, and is particularly endemic in some areas of the North America, usually those surrounding the Ohio and Mississippi river valleys (1). Baddley et al. found that per 100,000 populations in the United States, 3.4 cases of histoplasmosis were present in older adults more than 65 years of age. (2). It is a problem in patients who have compromised immunity from infections like HIV/AIDS and is more prevalent in areas where anti-retro viral treatment is not widely available (3). Histoplasmosis is not common in the East Coast of the US. In Pennsylvania, it is in fact a reportable disease. We present an infrequent occurrence of pulmonary histoplasmosis in a middleaged immunocompetent male living in a non-endemic area. Case Report A 50-year-old physically active man presented to our hospital with mid-sternal chest discomfort, fatigue, chills and mild shortness of breath that started about a week prior and became progressively worse. He also complained of extreme diaphoresis. Vital signs showed temperature of 99.1°F, heart rate 67 bpm/regular, respiratory rate 18/m, blood pressure 144/90 mmHg and saturation 98% on room air. He was awake, alert and oriented to time, place and person. His neck was supple with no carotid bruits noted. Lung exam revealed occasional bibasilar coarse crackles, cardiac examination revealed normal rate and rhythm, normal S1 and S2 with no murmurs/rubs or gallops. Abdomen, skin, extremities and neurology examination were normal. A cc ep te d pa pe r Three sets of troponin I were negative and electrocardiogram showed normal sinus rhythm with no significant ST-T segment changes. Chest x-ray on admission showed multiple nodules with a shaggy and therefore inflammatory appearance mainly in the upper and mid lung fields bilaterally (Figure 1). D-dimers were elevated at 1190 nanograms/milliliter (normal range 0-399). Patient underwent a Computed Tomography Angiography (CTA) of the chest wh","PeriodicalId":296268,"journal":{"name":"D59. FUNGAL INFECTION CASE REPORTS","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132476398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fluconazole Non Susceptible Disseminated Coccidioidomycosis in a Critically Ill Patient Without Known Immunosuppression","authors":"M. Eltayeb, S. Asad, A. Malik, Yen-Ting Cao, Wen-Ya Yu, Annie Hong","doi":"10.1164/AJRCCM-CONFERENCE.2019.199.1_MEETINGABSTRACTS.A6871","DOIUrl":"https://doi.org/10.1164/AJRCCM-CONFERENCE.2019.199.1_MEETINGABSTRACTS.A6871","url":null,"abstract":"","PeriodicalId":296268,"journal":{"name":"D59. FUNGAL INFECTION CASE REPORTS","volume":"187 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132576645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disseminated Cocci Packs a Punch","authors":"N. Achamallah, L. Kuklinski, M. Miller, S. Hosea","doi":"10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a6874","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a6874","url":null,"abstract":"","PeriodicalId":296268,"journal":{"name":"D59. FUNGAL INFECTION CASE REPORTS","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116440746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Polymicrobial Lung Abscess Complicating Autologous Hematopoietic Stem Cell Transplant","authors":"R. Farhat, A. C. Miller, D. Picker","doi":"10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a6855","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a6855","url":null,"abstract":"","PeriodicalId":296268,"journal":{"name":"D59. FUNGAL INFECTION CASE REPORTS","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130801650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Tale of Exotic Lizard Induced Respiratory Tract Infection from Candida in a Healthy Young Female","authors":"F. Lim, Z. Solangi, K. Eneh","doi":"10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a6886","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a6886","url":null,"abstract":"","PeriodicalId":296268,"journal":{"name":"D59. FUNGAL INFECTION CASE REPORTS","volume":"27 12","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121010455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pulmonary Mucormycosis Presenting as Bronchial Mass","authors":"Y. Zafar, E. Tylski, A. Gohar","doi":"10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a6864","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a6864","url":null,"abstract":"","PeriodicalId":296268,"journal":{"name":"D59. FUNGAL INFECTION CASE REPORTS","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121276877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aspergilloma in Lung Transplant Recipient 8 Years Post-Transplant: Should Prolonged Anti-Fungal Prophylaxis Be Re-Visited?","authors":"K. Pennington, C. Kennedy, S. Peters, M. Brutinel, J. Scott, H. Sekiguchi, S. Blackmon, M. Wylam","doi":"10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a6856","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a6856","url":null,"abstract":"","PeriodicalId":296268,"journal":{"name":"D59. FUNGAL INFECTION CASE REPORTS","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133698427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A ‘Mass’ Caused by Dust: Disseminated and Severe Coccidioidomycosis in an Immunocompetent Person","authors":"Elizabeth Au, K. Modi","doi":"10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a6869","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a6869","url":null,"abstract":"","PeriodicalId":296268,"journal":{"name":"D59. FUNGAL INFECTION CASE REPORTS","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131927357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hidden Until Seen: Diagnosis of Tracheobronchial Aspergillosis in Fever of Unknown Origin","authors":"F. Zeba, N. Nassikas, J. Aliotta","doi":"10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a6862","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a6862","url":null,"abstract":"","PeriodicalId":296268,"journal":{"name":"D59. FUNGAL INFECTION CASE REPORTS","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124566307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}