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Revista del Instituto de Medicina Tropical

Print version ISSN 1996-3696

Abstract

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.  https://doi.org/10.18004/imt/2021.16.1.55.

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.

Conclusion:

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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