[Multivisceral infarcts are complication of invasive aspergillosis]

E Vázquez Muñoz1, M Morado Arias, J A Sobrino Daza

  • 1Servicios de Hematología y Cardiología, Hospital Universitario La Paz, Madrid.

Anales De Medicina Interna (Madrid, Spain : 1984)
|December 17, 2002
PubMed

Insights

Invasive aspergillosis can cause fatal multi-visceral infarcts in severely immunocompromised patients. This study highlights intravascular hyphae as a cause of septic emboli, an underestimated complication.

Area of Science:

  • Medical Mycology
  • Infectious Diseases
  • Pathology

Background:

  • Aspergillosis, caused by Aspergillus fumigatus, presents clinically with fever and respiratory distress, often fatal in severely immunocompromised individuals.
  • Aortic aspergillosis is a severe form occurring post-cardiac surgery.
  • Invasive aspergillosis requires awareness of diverse clinical manifestations.

Observation:

  • Two cases of invasive aspergillosis complicated by multiple visceral infarcts are presented.
  • Infarcts involved the liver, spleen, kidneys, pancreas, thyroid, and brain.
  • Necropsy confirmed intravascular hyphae within infarcted areas, forming septic emboli.

Findings:

  • Intravascular hyphae of Aspergillus fumigatus can lead to septic emboli.
  • Multi-visceral infarcts are a significant, potentially underestimated complication of invasive aspergillosis.
  • The study emphasizes the need for vigilance regarding this fungal infection's presentations.

Implications:

  • Clinicians must recognize multi-visceral infarcts as a potential consequence of invasive aspergillosis.
  • Increased awareness is crucial given the rising population of immunocompromised patients.
  • Early diagnosis and management are vital for improving outcomes in invasive aspergillosis.

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