�leri Retroviral Hastas�nda Akci�er T�m�r�n� Taklit Eden Pulmoner Mukormikozis

Chai, Shuk Ching; Ng, Khai Lip; Huan, Nai Chien; Gan, Wee Fu; Abdullah, Diyana; Mohamed Nordin, Kasuma

Cilt : 13 Say� : 3 Y�l : 2024

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�leri Retroviral Hastas�nda Akci�er T�m�r�n� Taklit Eden Pulmoner Mukormikozis [Respir Case Rep]

Respir Case Rep. 2024; 13(1): 20-24 | DOI: 10.5505/respircase.2024.54154

�leri Retroviral Hastas�nda Akci�er T�m�r�n� Taklit Eden Pulmoner Mukormikozis

Shuk Ching Chai¹, Khai Lip Ng¹, Nai Chien Huan², Wee Fu Gan¹, Diyana Abdullah³, Kasuma Mohamed Nordin¹
¹Melaka Hastanesi, G��s Hastal�klar� Servisi, Melaka, Malezya
²Krali�e Elizabet Hastanesi, G��s Hastal�klar� Servisi, Kota Kinabalu, Malezya
³Melaka Hastanesi, Patoloji B�l�m�, Melaka, Malezya

Pulmoner mukormikozis nadir bir hastal�k olmakla birlikte immunsuprese hasta say�s�n�n artmas� ile birlikte g�r�lme s�kl�� beklenilenden fazla olabilmektedir. Bu olgu sunumunda, �ks�r�k ve nefes darl�� ikayetleri ile acil servise ba�vuran akut solunum yetmezli�i nedeniyle ent�be edilen ilerlemi� retroviral hastal�� olan bir erkek olgu sunuldu. Toraks bilgisayarl� tomografisinde sa� ana bron�ta total okl�zyona yol a�an endobron�ial lezyon ile birlikte sa� apikal pn�motoraks mevcuttu. Fleksibl bronkoskopide tomografi ile uyumlu olarak sa� ana bron�u tamamen t�kayan endobron�iyal lezyon izlendi. Bronkoskopik biyopsi histopatolojik incelemesinde mukormikozis ile uyumlu mantar cisimcikleri g�r�ld�. Posakonazol ile tedavi edilen hastada klinik ve radyolojik olarak tam iyile�me g�r�ld�.

Anahtar Kelimeler: Pulmoner mukormikozis, akci�erde kitle, retroviral hastal�k, bronkoskopi.

Pulmonary Mucormycosis Mimicking a Lung Tumor in a Patient with Advanced Retroviral Disease

Shuk Ching Chai¹, Khai Lip Ng¹, Nai Chien Huan², Wee Fu Gan¹, Diyana Abdullah³, Kasuma Mohamed Nordin¹
¹Department of Respiratory Medicine, Melaka Hospital, Melaka, Malaysia
²Department of Respiratory Medicine, Queen Elizabeth Hospital, Kota Kinabalu, Malaysia
³Department of Pathology, Melaka Hospital, Melaka, Malaysia

Pulmonary mucormycosis is a relatively rare disease that may become more common with the increasing number of immunocompromised patients. The male case presented here, with advanced retroviral disease, presented with persistent cough and acute respiratory distress. A chest radiograph and computed tomography (CT) of the thorax revealed a right apical pneumothorax and a mass in the right main bronchus. Flexible bronchoscopy revealed an endobronchial mass, occluded entirely the right main bronchus. Histopathological examinations of multiple biopsies revealed fungal bodies suggestive of mucormycosis. The patient was treated with Posaconazole, leading to a complete clinical and radiological cure.

Keywords: Pulmonary mucormycosis, lung mass, retroviral disease, bronchoscop.

Sorumlu Yazar: Shuk Ching Chai, Malaysia
Makale Dili: �ngilizce

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