The Infection Returns: A Case of Pulmonary Sporotrichosis Relapse after Chemotherapy
Background. Pulmonary sporotrichosis is a rare disease caused by a dimorphic fungus, Sporothrix schenckii. It is rarely found in association with malignancy. We present a case of pulmonary sporotrichosis recurrence after chemotherapy. Case Presentation. A 44-year-old man, treated for pulmonary sporo...
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2018-01-01
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Series: | Case Reports in Medicine |
Online Access: | http://dx.doi.org/10.1155/2018/1384029 |
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author | Samid M. Farooqui Houssein Youness |
author_facet | Samid M. Farooqui Houssein Youness |
author_sort | Samid M. Farooqui |
collection | DOAJ |
description | Background. Pulmonary sporotrichosis is a rare disease caused by a dimorphic fungus, Sporothrix schenckii. It is rarely found in association with malignancy. We present a case of pulmonary sporotrichosis recurrence after chemotherapy. Case Presentation. A 44-year-old man, treated for pulmonary sporotrichosis in the past, presented with dysphagia and was found to have squamous cell carcinoma of the esophagus. After undergoing chemotherapy, extensive cavitary lesions were observed on thoracic computed tomography scan. A bronchoalveolar lavage revealed the presence of Sporothrix schenckii sensu lato. Despite treatment with itraconazole, he eventually required a left pneumonectomy for progressive destructive cavitary lesions involving the left lung. Conclusion. This case highlights the importance of considering past fungal infections, albeit cured, in patients initiating immunosuppressive therapy. |
format | Article |
id | doaj-art-8affba0c7d7c4869beb6bf0c22c7c986 |
institution | Kabale University |
issn | 1687-9627 1687-9635 |
language | English |
publishDate | 2018-01-01 |
publisher | Wiley |
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series | Case Reports in Medicine |
spelling | doaj-art-8affba0c7d7c4869beb6bf0c22c7c9862025-02-03T05:45:01ZengWileyCase Reports in Medicine1687-96271687-96352018-01-01201810.1155/2018/13840291384029The Infection Returns: A Case of Pulmonary Sporotrichosis Relapse after ChemotherapySamid M. Farooqui0Houssein Youness1Department of Internal Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USASection of Pulmonary, Critical Care, and Sleep Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USABackground. Pulmonary sporotrichosis is a rare disease caused by a dimorphic fungus, Sporothrix schenckii. It is rarely found in association with malignancy. We present a case of pulmonary sporotrichosis recurrence after chemotherapy. Case Presentation. A 44-year-old man, treated for pulmonary sporotrichosis in the past, presented with dysphagia and was found to have squamous cell carcinoma of the esophagus. After undergoing chemotherapy, extensive cavitary lesions were observed on thoracic computed tomography scan. A bronchoalveolar lavage revealed the presence of Sporothrix schenckii sensu lato. Despite treatment with itraconazole, he eventually required a left pneumonectomy for progressive destructive cavitary lesions involving the left lung. Conclusion. This case highlights the importance of considering past fungal infections, albeit cured, in patients initiating immunosuppressive therapy.http://dx.doi.org/10.1155/2018/1384029 |
spellingShingle | Samid M. Farooqui Houssein Youness The Infection Returns: A Case of Pulmonary Sporotrichosis Relapse after Chemotherapy Case Reports in Medicine |
title | The Infection Returns: A Case of Pulmonary Sporotrichosis Relapse after Chemotherapy |
title_full | The Infection Returns: A Case of Pulmonary Sporotrichosis Relapse after Chemotherapy |
title_fullStr | The Infection Returns: A Case of Pulmonary Sporotrichosis Relapse after Chemotherapy |
title_full_unstemmed | The Infection Returns: A Case of Pulmonary Sporotrichosis Relapse after Chemotherapy |
title_short | The Infection Returns: A Case of Pulmonary Sporotrichosis Relapse after Chemotherapy |
title_sort | infection returns a case of pulmonary sporotrichosis relapse after chemotherapy |
url | http://dx.doi.org/10.1155/2018/1384029 |
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