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Published on: November 4, 2015
Pulmonary arteriovenous malformation complicating coccidioidal pneumonia
R A Braun1, T L Buchmiller, N Khankhanian
1Department of Surgery, Kaiser-Permanente Medical Care Program, Panorama City, CA 91402, USA.
The Annals of Thoracic Surgery
|August 1, 1995
Summary
Coccidioidomycosis-related pneumonia can recur due to an infected arteriovenous malformation. Surgical resection and amphotericin B treatment led to complete resolution in one patient.
Area of Science:
- Infectious Diseases
- Cardiology
- Pulmonology
Background:
- Coccidioidomycosis is a fungal infection endemic to the southwestern United States.
- Lobar pneumonia is a severe form of bacterial pneumonia affecting a lung lobe.
- Arteriovenous malformations (AVMs) are abnormal connections between arteries and veins.
Observation:
- A patient presented with recurrent lobar pneumonia.
- The pneumonia was initially attributed to coccidioidomycosis.
- Further investigation revealed an infected arteriovenous malformation as the underlying cause of recurrence.
Findings:
- The infected arteriovenous malformation was surgically resected.
- Postoperative treatment with amphotericin B was administered.
- Complete resolution of the recurrent pneumonia was achieved.
Implications:
- This case highlights the importance of considering AVMs in recurrent or refractory pneumonia, especially in endemic areas.
- Infected AVMs can present as a complex infectious disease challenge.
- Multidisciplinary management involving infectious disease specialists, cardiologists, and thoracic surgeons is crucial for optimal outcomes.
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