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Revista del Instituto de Medicina Tropical

Print version ISSN 1996-3696


ESCOBAR-SALINAS, Jorge Sebastián; OLMEDO, Edis Fabiola; STORM, Guillermo  and  PERALTA-GIMENEZ, Ruth María. Pulmonary aspergillosis in an immuno suppressed patient. Rev. Inst. Med. Trop. [online]. 2021, vol.16, n.1, pp.55-59. ISSN 1996-3696.

Opportunistic germs can cause serious infections in immunosuppressed patients, such as patients with the human immunodeficiency virus. We present the case of a 35-year-old woman, a cardiac patient with a mechanical aortic valve prosthesis, anticoagulated, who presented with an 8-day history of dry cough, loss of appetite and pale skin. 3 days before admission, a fever of 38.5 ° was added without a predominance of hours, accompanied by chills that partially subsided with antipyretics and physical means. It accompanies the picture generalized weakness and respiratory distress at moderate efforts. He reported a similar picture 17 months ago, with a diagnosis of bacterial aortic endocarditis to Streptococcus gallolyticus spp, which required aortic valve replacement with a mechanical prosthesis. A video colonoscopy is performed where a vegetating tumor is observed at the level of the ascending colon and whose pathological anatomy reports a villous adenoma with Intramucosal adenocarcinoma foci with free margins.


The identification of the causative germ and the early initiation of therapy is crucial to change the course of the disease and obtain a favorable evolution.

Keywords : Aspergillosis; Aspergillus; Acquired Immunodeficiency Syndrome; HIV.

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