RESUMEN

Pulmonary mucormycosis and aspergillosis with disseminated mucormycosis involving gastrointestinalin is a very rare but lethal infection leading to extreme mortality. Herein, we present a unique case of pulmonary coinfection with Cunninghamella bertholletiae and Aspergillus flavus, with disseminated mucormycosis involving the jejunum caused by C. bertholletiae in an acute B-lymphocytic leukemia (B-ALL) patient with familial diabetes. Early administration of active antifungal agents at optimal doses and complete resection of all infected tissues led to improved therapeutic outcomes.

Asunto(s)

Coinfección , Cunninghamella , Enfermedades Pulmonares , Mucormicosis , Leucemia-Linfoma Linfoblástico de Células Precursoras , Aspergilosis Pulmonar , Antifúngicos/uso terapéutico , Cunninghamella/fisiología , Femenino , Humanos , Enfermedades Pulmonares/microbiología , Persona de Mediana Edad , Mucormicosis/complicaciones , Mucormicosis/diagnóstico , Mucormicosis/tratamiento farmacológico , Leucemia-Linfoma Linfoblástico de Células Precursoras/complicaciones , Leucemia-Linfoma Linfoblástico de Células Precursoras/tratamiento farmacológico , Aspergilosis Pulmonar/complicaciones , Resultado del Tratamiento