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Invasive Aspergillosis Involving the Lungs and Brain after Short Period of Steroid Injection: A Case Report

  • Choi, Young-Rak (Department of Internal Medicine, Chungbuk University College of Medicine) ;
  • Kim, Jeong-Tae (Department of Internal Medicine, Chungbuk University College of Medicine) ;
  • Kim, Jeong-Eun (Department of Internal Medicine, Chungbuk University College of Medicine) ;
  • Jung, Heo-Won (Department of Internal Medicine, Chungbuk University College of Medicine) ;
  • Choe, Kang-Hyeon (Department of Internal Medicine, Chungbuk University College of Medicine) ;
  • Lee, Ki-Man (Department of Internal Medicine, Chungbuk University College of Medicine) ;
  • An, Jin-Young (Department of Internal Medicine, Chungbuk University College of Medicine)
  • 투고 : 2011.01.03
  • 심사 : 2011.09.30
  • 발행 : 2012.05.30

초록

Invasive pulmonary aspergillosis (IPA) has emerged as a severe infection in patients with immunocompromised hosts. However, recently, several IPA cases, without an apparent predisposition to immunodeficiency, has been reported. A 72-year-old woman was admitted for evaluation of general weakness and poor oral intake. She reported no medical history, except for intraarticular injection of a corticosteroid for joint pain for the duration of two months. A chest radiography revealed multiple cavitary nodules in both lungs. Examination of specimens, obtained by percutaneous needle biopsy, led to a diagnosis of invasive aspergillosis. Brain magnetic resonance imagining revealed numerous peripheral thin enhancing cystic nodules in both cerebral hemispheres. We initiated intravenous administration of amphotercin B. However, the patient died after nine days. Here, we report an invasive aspergillosis case, which involves the lungs and brain after a short period of steroid injection.

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참고문헌

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피인용 문헌

  1. A 76-year-old Man with a Right Lung Adenocarcinoma and Invasive Aspergillosis vol.176, pp.1, 2012, https://doi.org/10.1007/s11046-013-9651-2
  2. Fruiting bodies of Aspergillus: An unusual finding in histopathology vol.30, pp.4, 2013, https://doi.org/10.4103/0970-2113.120623
  3. Impact of Surgical and Medical Treatment on Survival of Patients with Cerebral Aspergillosis: Systematic Review of the Literature vol.149, pp.None, 2012, https://doi.org/10.1016/j.wneu.2021.01.033