Pseudomembranous aspergillar tracheobronchitis in a non-neutropenic critically ill patient in the intensive care unit
Invasive aspergillosis is an important cause of morbidity and mortality among immunocompromised patients. Prolonged neutropenia is the most common risk factor. It has rarely been reported to occur in non-neutropenic critically ill patients in the intensive care unit setting. Mortality rate in this g...
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Format: | Article |
Language: | English |
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Greater Baltimore Medical Center
2017-01-01
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Series: | Journal of Community Hospital Internal Medicine Perspectives |
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Online Access: | http://dx.doi.org/10.1080/20009666.2017.1287840 |
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author | Sameen Khalid FNU Asad-ur -Rahman Aamer Abbass Sigfredo Aldarondo Khalid Abusaada |
author_facet | Sameen Khalid FNU Asad-ur -Rahman Aamer Abbass Sigfredo Aldarondo Khalid Abusaada |
author_sort | Sameen Khalid |
collection | DOAJ |
description | Invasive aspergillosis is an important cause of morbidity and mortality among immunocompromised patients. Prolonged neutropenia is the most common risk factor. It has rarely been reported to occur in non-neutropenic critically ill patients in the intensive care unit setting. Mortality rate in this group has been reported to be as high as 92%. We report a case of tracheobronchial aspergillosis in a non-neutropenic critically ill patient to highlight the fact that critically ill patients admitted in the intensive care unit can develop opportunistic infections such as invasive aspergillosis even in the absence of classic risk factors and prior history of immunosuppression. Early diagnosis and prompt initiation of antifungal therapy may improve the outcome and decrease mortality rate. |
first_indexed | 2024-04-11T03:58:03Z |
format | Article |
id | doaj.art-052c32f25d214fe49046933cf7805981 |
institution | Directory Open Access Journal |
issn | 2000-9666 |
language | English |
last_indexed | 2024-04-11T03:58:03Z |
publishDate | 2017-01-01 |
publisher | Greater Baltimore Medical Center |
record_format | Article |
series | Journal of Community Hospital Internal Medicine Perspectives |
spelling | doaj.art-052c32f25d214fe49046933cf78059812023-01-02T00:05:15ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662017-01-0171434510.1080/20009666.2017.12878401287840Pseudomembranous aspergillar tracheobronchitis in a non-neutropenic critically ill patient in the intensive care unitSameen Khalid0FNU Asad-ur -Rahman1Aamer Abbass2Sigfredo Aldarondo3Khalid Abusaada4Florida HospitalFlorida HospitalFlorida HospitalFlorida HospitalFlorida HospitalInvasive aspergillosis is an important cause of morbidity and mortality among immunocompromised patients. Prolonged neutropenia is the most common risk factor. It has rarely been reported to occur in non-neutropenic critically ill patients in the intensive care unit setting. Mortality rate in this group has been reported to be as high as 92%. We report a case of tracheobronchial aspergillosis in a non-neutropenic critically ill patient to highlight the fact that critically ill patients admitted in the intensive care unit can develop opportunistic infections such as invasive aspergillosis even in the absence of classic risk factors and prior history of immunosuppression. Early diagnosis and prompt initiation of antifungal therapy may improve the outcome and decrease mortality rate.http://dx.doi.org/10.1080/20009666.2017.1287840Aspergillosiscritically illnon-neutropenictracheobronchial aspergillosisimmunoparalysis |
spellingShingle | Sameen Khalid FNU Asad-ur -Rahman Aamer Abbass Sigfredo Aldarondo Khalid Abusaada Pseudomembranous aspergillar tracheobronchitis in a non-neutropenic critically ill patient in the intensive care unit Journal of Community Hospital Internal Medicine Perspectives Aspergillosis critically ill non-neutropenic tracheobronchial aspergillosis immunoparalysis |
title | Pseudomembranous aspergillar tracheobronchitis in a non-neutropenic critically ill patient in the intensive care unit |
title_full | Pseudomembranous aspergillar tracheobronchitis in a non-neutropenic critically ill patient in the intensive care unit |
title_fullStr | Pseudomembranous aspergillar tracheobronchitis in a non-neutropenic critically ill patient in the intensive care unit |
title_full_unstemmed | Pseudomembranous aspergillar tracheobronchitis in a non-neutropenic critically ill patient in the intensive care unit |
title_short | Pseudomembranous aspergillar tracheobronchitis in a non-neutropenic critically ill patient in the intensive care unit |
title_sort | pseudomembranous aspergillar tracheobronchitis in a non neutropenic critically ill patient in the intensive care unit |
topic | Aspergillosis critically ill non-neutropenic tracheobronchial aspergillosis immunoparalysis |
url | http://dx.doi.org/10.1080/20009666.2017.1287840 |
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