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Related Experiment Videos

Radiology quiz- dancing ball.

Aditya K Chawla1, Arun Madan2, Kamal Chopra3

  • 1Saroj Super Speciality Hospital & Jaipur Golden Hospital, Delhi, India.

The Indian Journal of Tuberculosis
|March 1, 2021
PubMed
Summary

A patient with pneumonia experienced worsening symptoms and bleeding due to a rare fungal infection. Surgical removal of the affected lung lobe (lobectomy) was necessary for a complete cure.

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Lung India : official organ of Indian Chest Society·2022

Area of Science:

  • Pulmonology
  • Infectious Diseases
  • Medical Mycology

Background:

  • Pneumonia cases typically respond well to initial treatment.
  • Recurrent hemoptysis can indicate complex underlying conditions.
  • Fungal infections can complicate bacterial or viral pneumonia.

Observation:

  • A patient with pneumonia initially improved but then deteriorated with recurrent hemoptysis.
  • Bronchial aspirate cultures revealed a coexisting fungal infection.
  • Repeat bronchoscopy showed a unique finding of a mobile, ball-like structure in the right upper lobe (RUL).

Findings:

  • The patient presented with a rare co-infection of pneumonia and a fungal pathogen.
  • A distinct, mobile intrapulmonary mass was visualized during bronchoscopy.
Keywords:
MucormycosisUnresolving pneumoniaVideo bronchoscopy

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  • Conservative management failed to resolve the patient's deteriorating condition.

    • Implications:

    • This case highlights the importance of considering fungal co-infections in refractory pneumonia with hemoptysis.
    • Rare intrapulmonary fungal masses require thorough investigation and tailored treatment.
    • Lobectomy can be a curative option for complex, localized fungal lung infections unresponsive to other therapies.