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Delayed Diagnosis of a Diffuse Invasive Gastrointestinal Aspergillosis in an Immunocompetent Patient.
Guglielmetti, S; Jaccard, C M; Mühlethaler, K; Bigler, A; Springe, D; Ebnöther, L; Delgado, M.
Afiliación
  • Guglielmetti S; Emergency Department, Bürgerspital Solothurn, Switzerland.
  • Jaccard CM; Institute of Pathology, University of Bern, Switzerland.
  • Mühlethaler K; Institute for Infectious Diseases, University of Bern, Switzerland.
  • Bigler A; Intensive Care Unit, Anesthesiology Department, Bürgerspital Solothurn, Switzerland.
  • Springe D; Intensive Care Unit, Anesthesiology Department, Bürgerspital Solothurn, Switzerland.
  • Ebnöther L; Intensive Care Unit, Anesthesiology Department, Bürgerspital Solothurn, Switzerland.
  • Delgado M; Intensive Care Unit, Anesthesiology Department, Bürgerspital Solothurn, Switzerland.
Case Rep Crit Care ; 2020: 3601423, 2020.
Article en En | MEDLINE | ID: mdl-32547793
Invasive aspergillosis represents a clinical picture frequently associated with host's immunosuppression which usually involves a high morbidity and mortality. In general, the most frequent fungal entry is the lungs with secondary hematogenous dissemination, but there are other hypotheses like a gastrointestinal portal of entry. There are some rare publications of cases with invasive aspergillosis in immunocompetent patients. We present the case of an immunocompetent patient without any risk factors except for age, ICU stay, and surgical intervention, who developed a septic shock by invasive gastrointestinal aspergillosis as primary infection. Due to the unusualness of the case, despite all the measures taken, the results were obtained postmortem. We want to emphasize the need not to underestimate the possibility for an invasive aspergillosis in an immunocompetent patient. Not only pulmonary but also gastrointestinal aspergillosis should be taken into account in the differential diagnosis to avoid a delay of treatment.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Diagnostic_studies / Risk_factors_studies Idioma: En Revista: Case Rep Crit Care Año: 2020 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Diagnostic_studies / Risk_factors_studies Idioma: En Revista: Case Rep Crit Care Año: 2020 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Estados Unidos