Journal
MEDICAL MYCOLOGY CASE REPORTS
Volume 20, Issue -, Pages 28-32Publisher
ELSEVIER SCIENCE BV
DOI: 10.1016/j.mmcr.2018.02.001
Keywords
Tracheal mucormycosis; Pulmonary mucormycosis; Lichtheimia; Organizing pneumonia
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Funding
- Robert-Koch-Institute by the German Ministry of Health [1369-240]
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We report a case of tracheal, laryngeal and pulmonary mucormycosis in a patient receiving immunosuppressive medication for an autoinflammatory fever syndrome. Mucormycosis was confirmed by histopathology from tracheal specimens and molecular evidence of Lichtheimia. A surgical approach was not possible because of the multifocal disease pattern and the extent of tracheal involvement. The patient was successfully treated with liposomal amphotericin B followed by posaconazole maintenance therapy. After 9 months, recurrent pulmonary mucormycosis was suspected but emerged as organizing pneumonia without evidence of active fungal infection.
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