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Published on: March 9, 2018
Mucormycosis causing pulmonary artery aneurysm
Lakshman Ramachandran1, Sandeep Dewan2, Vishal Kumar2
1Jaypee Hospital, Critical Care Medicine, Sec 129, Noida, Uttar Pradesh, India.
Abstract:
Pulmonary artery aneurysm (PAA) is an uncommon entity and is usually congenital in origin or secondary to pulmonary arterial hypertension. Infections causing PAA are few, tuberculosis and bacterial infections being the common causative organisms. There have been few cases reported previously, in which the organism causing PAA was found to be a rare fungus called mucor. Pulmonary mucormycosis causing PAA is an infrequent and almost fatal complication as most of the diagnosis was made post mortem. This report brings out a case of pulmonary mucormycosis causing ruptured PAA in a patient with diabetes. This patient was cured by a timely treatment of a combination of surgery and medical therapy.
Insights
Pulmonary artery aneurysm (PAA) caused by rare fungal mucormycosis is a life-threatening condition, often diagnosed post-mortem. This case highlights successful treatment of ruptured PAA in a diabetic patient through surgery and medication.
Area of Science:
- Pulmonology
- Infectious Diseases
- Mycology
Background:
- Pulmonary artery aneurysm (PAA) is rare, often congenital or linked to pulmonary hypertension.
- Infections causing PAA are uncommon, with tuberculosis and bacteria being typical culprits.
- Fungal infections, specifically mucormycosis, are exceptionally rare causes of PAA.
Observation:
- A case of pulmonary mucormycosis leading to a ruptured PAA was observed.
- The affected patient had a history of diabetes mellitus.
- Diagnosis was made during the patient's lifetime, allowing for timely intervention.
Findings:
- Pulmonary mucormycosis, a rare fungal infection, was identified as the cause of PAA.
- The patient presented with a ruptured PAA, a critical and often fatal complication.
- Successful treatment was achieved through a combination of surgical intervention and medical therapy.
Implications:
- This case underscores the importance of considering rare fungal infections in PAA diagnosis, especially in immunocompromised patients.
- Early diagnosis and combined treatment (surgery and medication) can be life-saving for ruptured PAA due to mucormycosis.
- Highlights the potential for successful management of this rare and severe condition with prompt medical and surgical care.
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