Pneumonia in a patient with lung cancer

Autores/as

  • Vitorino Modesto dos SANTOS Universidade Católica de Brasília. Hospital das Forças Armadas 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

Palabras clave:

Aspergillus. Immunosuppression. Neutropenia. Pulmonary aspergillosis.

Resumen

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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Biografía del autor/a

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

1 Universidade Católica de Brasília, Curso de Medicina. Campus I, QS 07, Lote 1, EPCT, Águas Claras, 71966-700, Brasília, DF, Brasil. Correspondência para/Correspondence to: VM SANTOS. E-mail: <vitorinomodesto@gmail.com>.


2 Hospital das Forças Armadas. Brasília, DF, Brasil.

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.

Citas

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Avcı N, Hartavi M, Kaçan T, Bayındır M, Avcı M, Özakın C, et al. Retrospective analysis of the microbiological spectrum of pneumonia in Turkish patients with lung cancer. Contemp Oncol. 2016;20(1):63-6.

Dos Santos VM, da Trindade MC, de Souza DW, de Menezes AI, Oguma PM, Nascimento AL. A 76–year–old man with a right lung adenocarcinoma and invasive aspergillosis. Mycopathologia. 2013;176(1-2):113-8.

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.

Publicado

2017-11-09

Cómo 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