Imaging of pulmonary fusariosis in patients with hematologic malignancies

Edith M Marom1, Andrea M Holmes, John F Bruzzi

  • 1Department of Diagnostic Imaging, The University of Texas M. D. Anderson Cancer Center, Unit 371, 1515 Holcombe Blvd., Houston, TX 77030, USA. emarom@di.mdacc.tmc.edu

Abstract

Insights

Pulmonary fusariosis, a severe pneumonia, often presents with nodules or masses on CT scans, unlike chest X-rays. Early diagnosis and treatment are crucial for survival in immunocompromised patients with hematologic malignancies.

Area of Science:

  • Medical Imaging
  • Infectious Diseases
  • Pulmonology

Background:

  • Pulmonary fusariosis is an emerging opportunistic mold pneumonia.
  • It is a severe infection often seen in immunocompromised individuals.

Purpose of the Study:

  • To evaluate the radiographic characteristics of pulmonary fusariosis.
  • To correlate imaging findings with patient outcomes.

Main Methods:

  • Retrospective review of CT and chest radiography in 20 patients with pulmonary fusariosis.
  • Analysis of radiographic findings and their association with underlying conditions and survival.

Main Results:

  • Nodules or masses were the most frequent CT finding (82%), compared to chest radiography (45%).
  • Chest radiographs had nonspecific findings in 30% and were normal in 25% of cases.
  • All patients had hematologic malignancies, and 65% died within one month.

Conclusions:

  • Pulmonary fusariosis exhibits imaging features suggestive of angioinvasive mold infection.
  • Early CT and microbiologic investigation are recommended for prompt diagnosis and treatment in high-risk patients.
  • Timely antifungal therapy is critical for improving survival rates.

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