Bronchial mucormycosis with progressive air trapping

Donald M. Collins, Thomas A Dillard, Kurt W. Grathwohl, George N. Giacoppe, Bruce F. Arnold

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

A previously healthy 70-year-old woman developed fever, cough, and exertional dyspnea. Her symptoms progressed over a 2-month period despite treatment by her primary care physician with 2 courses of oral antibiotics and the addition of prednisone. Hypoxemia and the finding of hyperglycemia with mild ketoacidosis led to hospital admission. Serial chest radiographs demonstrated diffuse heterogeneous pulmonary opacities and progressive air trapping in the right lower lobe. Fiberoptic bronchoscopy revealed a deep penetrating ulcer with exposed bronchial cartilage of the bronchus intermedius and dynamic airway obstruction with complete closure during expiration. Biopsy of the ulcer revealed Rhizopus arrhizus. Respiratory failure stabilized with the patient on conventional mechanical ventilation and receiving amphotericin B. Before surgery could be performed, Pseudomonas aeruginosa pneumonia and septic shock developed, and the patient died.

Original languageEnglish (US)
Pages (from-to)698-701
Number of pages4
JournalMayo Clinic Proceedings
Volume74
Issue number7
DOIs
StatePublished - Jan 1 1999

Fingerprint

Mucormycosis
Ulcer
Air
Rhizopus
Ketosis
Primary Care Physicians
Bronchoscopy
Amphotericin B
Airway Obstruction
Bronchi
Septic Shock
Prednisone
Artificial Respiration
Cough
Respiratory Insufficiency
Hyperglycemia
Dyspnea
Pseudomonas aeruginosa
Cartilage
Pneumonia

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Collins, D. M., Dillard, T. A., Grathwohl, K. W., Giacoppe, G. N., & Arnold, B. F. (1999). Bronchial mucormycosis with progressive air trapping. Mayo Clinic Proceedings, 74(7), 698-701. https://doi.org/10.4065/74.7.698

Bronchial mucormycosis with progressive air trapping. / Collins, Donald M.; Dillard, Thomas A; Grathwohl, Kurt W.; Giacoppe, George N.; Arnold, Bruce F.

In: Mayo Clinic Proceedings, Vol. 74, No. 7, 01.01.1999, p. 698-701.

Research output: Contribution to journalArticle

Collins, DM, Dillard, TA, Grathwohl, KW, Giacoppe, GN & Arnold, BF 1999, 'Bronchial mucormycosis with progressive air trapping', Mayo Clinic Proceedings, vol. 74, no. 7, pp. 698-701. https://doi.org/10.4065/74.7.698
Collins DM, Dillard TA, Grathwohl KW, Giacoppe GN, Arnold BF. Bronchial mucormycosis with progressive air trapping. Mayo Clinic Proceedings. 1999 Jan 1;74(7):698-701. https://doi.org/10.4065/74.7.698
Collins, Donald M. ; Dillard, Thomas A ; Grathwohl, Kurt W. ; Giacoppe, George N. ; Arnold, Bruce F. / Bronchial mucormycosis with progressive air trapping. In: Mayo Clinic Proceedings. 1999 ; Vol. 74, No. 7. pp. 698-701.
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