Fatal pulmonary mycosis in a diabetic and cirrhotic patient

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Published Aug 24, 2015
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Vol. 93 No. 4 (2015): Issue Apr 2015

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Ayadi-Kaddour Aïda
Braham Emna
Marghli Adel
Ismail Olfa
Helal Imen
Mlika Mona
Kilani Tarak
El Mezni Faouzi

Abstract

Pulmonary mucormycosis is a rare, devastating, opportunistic fungal infection, caused by the ubiquitous filamentous fungi of the Mucorales order of the class of Zygomycetes. This infection occurs principally in some particular conditions, specially in diabetic patients and immunocompromised host, and rarely in cirrhotic patients. The diagnosis of mucormycosis can only be confirmed by pathological and mycological examination of biopsy specimens. We report a case of pulmonary mucormycosis in a 68-year-old woman with underlying liver cirrhosis and diabetes mellitus. Endoscopic and radiologic findings supported the diagnosis of hydatid cyst of the lung. The patient underwent surgical resection and was started on amphotericin B, after pathological examination. Unfortunately, she succumbed to the infection within one month of surgery.

Keywords:

Mucormycosis - lung - diabetes mellitus - liver cirrhosis - Surgery

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