Post-bronchoscopy fatal endobronchial hemorrhage in a woman with bronchopulmonary mucormycosis: a case report

Daniela Cabibi, Paola Di Carlo, Dario De Luca, Anton Maria La Rocca, Ennio Sacco

Risultato della ricerca: Article

8 Citazioni (Scopus)

Abstract

IntroductionDuring infection, Mucorales fungi invade major blood vessels, leading to extensive necrosis, and in cases of extensive pulmonary disease, bleeding into the lungs may occur.Case presentationWe report an unexpected event of post-bronchoscopy fatal endobronchial hemorrhage in a 62-year-old HIV-negative Italian woman with well controlled diabetes mellitus who presented with diffuse cavitated pulmonary lesions. Fiberoptic bronchoscopy revealed bilateral obstruction of the segmental bronchi. Fatal massive bleeding occurred after standard biopsy procedures. Histologic examination showed that the hyphae were more deeply colored by hematoxylin-eosin (H&E) than by other stains for fungi. Culture and autopsy confirmed bronchopulmonary mucormycosis.ConclusionInfection by Mucorales fungi should be considered in the diabetes population regardless of the degree of metabolic control. In these patients, particular caution should be taken during bronchoscopic procedures because of the greater friability of the fungal lesions.
Lingua originaleEnglish
pagine (da-a)398-401
Numero di pagine4
RivistaJournal of Medical Case Reports
Volume4
Stato di pubblicazionePublished - 2010

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Mucormycosis
Bronchoscopy
Mucorales
Hemorrhage
Fungi
Lung
Hyphae
Mycoses
Bronchi
Hematoxylin
Eosine Yellowish-(YS)
Lung Diseases
Blood Vessels
Autopsy
Diabetes Mellitus
Necrosis
Coloring Agents
HIV
Biopsy
Population

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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Post-bronchoscopy fatal endobronchial hemorrhage in a woman with bronchopulmonary mucormycosis: a case report. / Cabibi, Daniela; Di Carlo, Paola; De Luca, Dario; La Rocca, Anton Maria; Sacco, Ennio.

In: Journal of Medical Case Reports, Vol. 4, 2010, pag. 398-401.

Risultato della ricerca: Article

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AU - De Luca, Dario

AU - La Rocca, Anton Maria

AU - Sacco, Ennio

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