Mucormycosis causing pulmonary artery aneurysm

Lakshman Ramachandran1, Sandeep Dewan2, Vishal Kumar2

  • 1Jaypee Hospital, Critical Care Medicine, Sec 129, Noida, Uttar Pradesh, India.

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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