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[Pulmonary mucormycosis in a leukemia patient. Diagnostic and therapeutic difficulties]
K Nourdine1, A Telfour, M Antoine
1Service de Pneumologie et de Réanimation Respiratoire, Hôpital Tenon, Paris.
Abstract:
The observation of pulmonary mucormycosis occurring in a patient presenting with aplasia induced therapeutically during treatment for acute myeloblastic leukaemia, has led to a review of the characteristics of this rare opportunistic fungal infection: it occurs in a particular condition; the clinical manifestations are characterised by the thrombotic character and the rapidly necrosing nature of the histological lesions; the diagnosis is usually very difficult to make and is linked to the rarity of the pathology and the frequently negative mycological specimens apart from tissue biopsies; the value of a medicosurgical therapeutic strategy on which the prognosis of the infection depends.