A post-COVID-19 posterior mediastinitis: Case report
Invasive aspergillosis is a life-threatening condition of the immunocompromised, with a low occurrence reported in the immunocompetent. Although usually made by invasive methods, its early diagnosis is the cornerstone of a better prognosis as it yields a timely management and thus a lower mortality...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2022-02-01
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| Series: | SAGE Open Medical Case Reports |
| Online Access: | https://doi.org/10.1177/2050313X221081386 |
| _version_ | 1818982312947220480 |
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| author | Nadine El Hoyek Jacques Ghorayeb Iskandar Daou Dany Jamal Nathalie Mahfoud Georges Nawfal |
| author_facet | Nadine El Hoyek Jacques Ghorayeb Iskandar Daou Dany Jamal Nathalie Mahfoud Georges Nawfal |
| author_sort | Nadine El Hoyek |
| collection | DOAJ |
| description | Invasive aspergillosis is a life-threatening condition of the immunocompromised, with a low occurrence reported in the immunocompetent. Although usually made by invasive methods, its early diagnosis is the cornerstone of a better prognosis as it yields a timely management and thus a lower mortality risk. Mediastinal invasion by Aspergillus is, like any fungal mediastinitis, uncommon and usually results from a hematogeneous or a contiguous spread, a postoperative fungal infection, a complication of a descending necrotizing fasciitis, or from an esophageal perforation. We report a case of a diabetic patient with a previous history of hospitalization 2 months earlier for a COVID-19 infection, otherwise healthy, presenting with an unresolving dorsal pain. A malignancy was expected but further work-up showed in fine a posterior mediastinitis due to Aspergillus fumigatus . Thus, fungal etiologies are to be included as a differential while diagnosing a posterior mediastinitis even in a relatively immunocompetent patient and with no evident route of entry. |
| first_indexed | 2024-12-20T17:45:13Z |
| format | Article |
| id | doaj.art-f5d3053f85af4fa7aa9d823fbace3a59 |
| institution | Directory Open Access Journal |
| issn | 2050-313X |
| language | English |
| last_indexed | 2024-12-20T17:45:13Z |
| publishDate | 2022-02-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medical Case Reports |
| spelling | doaj.art-f5d3053f85af4fa7aa9d823fbace3a592022-12-21T19:31:00ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2022-02-011010.1177/2050313X221081386A post-COVID-19 posterior mediastinitis: Case reportNadine El Hoyek0Jacques Ghorayeb1Iskandar Daou2Dany Jamal3Nathalie Mahfoud4Georges Nawfal5Department of Radiology, Hotel Dieu de France University Hospital, Faculty of Medicine, Saint Joseph University, Beirut, LebanonDepartment of Orthopedic Surgery, Saint Joseph University Hospital, Faculty of Medicine, Saint Joseph University, Beirut, LebanonDepartment of Radiology, Saint Joseph University Hospital, Faculty of Medicine, Saint Joseph University, Beirut, LebanonDepartment of Intensive Care Unit, Saint Joseph University Hospital, Faculty of Medicine, Saint Joseph University, Beirut, LebanonDepartment of Pathology, Saint Joseph University Hospital, Faculty of Medicine, Saint Joseph University, Beirut, LebanonDepartment of Radiology, Saint Joseph University Hospital, Faculty of Medicine, Saint Joseph University, Beirut, LebanonInvasive aspergillosis is a life-threatening condition of the immunocompromised, with a low occurrence reported in the immunocompetent. Although usually made by invasive methods, its early diagnosis is the cornerstone of a better prognosis as it yields a timely management and thus a lower mortality risk. Mediastinal invasion by Aspergillus is, like any fungal mediastinitis, uncommon and usually results from a hematogeneous or a contiguous spread, a postoperative fungal infection, a complication of a descending necrotizing fasciitis, or from an esophageal perforation. We report a case of a diabetic patient with a previous history of hospitalization 2 months earlier for a COVID-19 infection, otherwise healthy, presenting with an unresolving dorsal pain. A malignancy was expected but further work-up showed in fine a posterior mediastinitis due to Aspergillus fumigatus . Thus, fungal etiologies are to be included as a differential while diagnosing a posterior mediastinitis even in a relatively immunocompetent patient and with no evident route of entry.https://doi.org/10.1177/2050313X221081386 |
| spellingShingle | Nadine El Hoyek Jacques Ghorayeb Iskandar Daou Dany Jamal Nathalie Mahfoud Georges Nawfal A post-COVID-19 posterior mediastinitis: Case report SAGE Open Medical Case Reports |
| title | A post-COVID-19 posterior mediastinitis: Case report |
| title_full | A post-COVID-19 posterior mediastinitis: Case report |
| title_fullStr | A post-COVID-19 posterior mediastinitis: Case report |
| title_full_unstemmed | A post-COVID-19 posterior mediastinitis: Case report |
| title_short | A post-COVID-19 posterior mediastinitis: Case report |
| title_sort | post covid 19 posterior mediastinitis case report |
| url | https://doi.org/10.1177/2050313X221081386 |
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