Pneumonia in a patient with lung cancer

Autores

  • Vitorino Modesto dos SANTOS Hospital das Forças Armadas e Universidade Católica de Brasília http://orcid.org/0000-0001-7568-7642
  • Lister Arruda Modesto dos SANTOS Hospital dos Servidores do Estado

DOI:

https://doi.org/10.24220/2318-0897v26n1a3780

Palavras-chave:

Aspergillus. Immunosuppression. Neutropenia. Pulmonary aspergillosis.

Resumo

The aim of the present report is to alert health care workers about a 64–year–old patient diagnosed with adenocarcinoma in the right lung treated with pemetrexed disodium, cisplatin and dexamethasone. He evolved with prolonged neutropenia, symptoms of lower airways infection, and recent pulmonary infiltrate in the radiographic image. The cultures for bacteria and mycobacteria in the blood and sputum were negative. Because of the lack of response to treatment with broad spectrum antibiotics and maintenance of neutropenia, a transbronchial biopsy was performed, which demonstrated infection by Aspergillus fumigatus. The patient was treated.

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Biografia do Autor

Vitorino Modesto dos SANTOS, Hospital das Forças Armadas e Universidade Católica de Brasília

Professor-Adjunto, Departamento de Medicna Interna

Lister Arruda Modesto dos SANTOS, Hospital dos Servidores do Estado

Hospital dos Servidores do Estado, Departamento de Cirurgia Geral e Oncocirurgia. São Paulo, SP, Brasil.

Referências

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Lanzarin LD, Mariano LC, Macedo MC, Batista MV, Duarte AN Sr. Conidial heads (fruiting bodies) as a hallmark for histopathological diagnosis of angioinvasive aspergillosis. Autops Case Rep. 2015;5(4):9-18.

Rodrigues-Pinto E, Lopes S, Principe F, Costa J, Macedo G. Pulmonary aspergillosis diagnosed by endoscopic ultrasound fine-needle aspiration. Endosc Ultrasound. 2016;5(1):58-60.

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Publicado

2017-11-09

Como Citar

SANTOS, V. M. dos, & SANTOS, L. A. M. dos. (2017). Pneumonia in a patient with lung cancer. Revista De Ciências Médicas, 26(1), 37–40. https://doi.org/10.24220/2318-0897v26n1a3780