抄録
A 69-year-old man was admitted to our hospital because of acute respiratory failure and pneumonia. Mechanical ventilation was begun, and antibiotics were subsequently administered. Bronchoalveolar lavage fluid showed fresh blood-like fluid containing hemosiderin-laden macrophages. ANCA and Anti GBM Ab were negative. Finally he was diagnosed with alveolar hemorrhage due to severe pneumonia. After receiving corticosteroid and antibiotics, respiratory failure was improved. One week after extubation, he suddenly developed fever and disturbance of consciousness. Candida albicans was detected from blood and cerebrospinal fluid culture. Despite administration of an antifungal agent, his condition worsened and he died five days after developing fever. Microscopic findings of the autopsy revealed candidal myocardial abscess. We encountered a rare autopsy case of candidal myocardial abscess in non-hematologic disease. This is an important case report to investigate how to diagnose fungal infections and treat them immediately.
| 元の言語 | English |
|---|---|
| ページ（範囲） | 670-677 |
| ページ数 | 8 |
| ジャーナル | Japanese Journal of Chest Diseases |
| 巻 | 72 |
| 発行部数 | 6 |
| 出版物ステータス | Published - 2013 |
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ASJC Scopus subject areas
- Pulmonary and Respiratory Medicine
これを引用
An autopsy case of candidal myocardial abscess in a patient with pneumonia. / Ogura, Takayuki; Takahashi, Hidenori; Ohkubo, Kosyu; Sudoh, Akihiko; Chiyotani, Atsushi; Nakachi, Ichiro; Kimura, Yoshishige; Tajima, Atsushi; Koh, Hidefumi; Masugi, Yohei.
：: Japanese Journal of Chest Diseases, 巻 72, 番号 6, 2013, p. 670-677.研究成果: Article
}
TY - JOUR
T1 - An autopsy case of candidal myocardial abscess in a patient with pneumonia
AU - Ogura, Takayuki
AU - Takahashi, Hidenori
AU - Ohkubo, Kosyu
AU - Sudoh, Akihiko
AU - Chiyotani, Atsushi
AU - Nakachi, Ichiro
AU - Kimura, Yoshishige
AU - Tajima, Atsushi
AU - Koh, Hidefumi
AU - Masugi, Yohei
PY - 2013
Y1 - 2013
N2 - A 69-year-old man was admitted to our hospital because of acute respiratory failure and pneumonia. Mechanical ventilation was begun, and antibiotics were subsequently administered. Bronchoalveolar lavage fluid showed fresh blood-like fluid containing hemosiderin-laden macrophages. ANCA and Anti GBM Ab were negative. Finally he was diagnosed with alveolar hemorrhage due to severe pneumonia. After receiving corticosteroid and antibiotics, respiratory failure was improved. One week after extubation, he suddenly developed fever and disturbance of consciousness. Candida albicans was detected from blood and cerebrospinal fluid culture. Despite administration of an antifungal agent, his condition worsened and he died five days after developing fever. Microscopic findings of the autopsy revealed candidal myocardial abscess. We encountered a rare autopsy case of candidal myocardial abscess in non-hematologic disease. This is an important case report to investigate how to diagnose fungal infections and treat them immediately.
AB - A 69-year-old man was admitted to our hospital because of acute respiratory failure and pneumonia. Mechanical ventilation was begun, and antibiotics were subsequently administered. Bronchoalveolar lavage fluid showed fresh blood-like fluid containing hemosiderin-laden macrophages. ANCA and Anti GBM Ab were negative. Finally he was diagnosed with alveolar hemorrhage due to severe pneumonia. After receiving corticosteroid and antibiotics, respiratory failure was improved. One week after extubation, he suddenly developed fever and disturbance of consciousness. Candida albicans was detected from blood and cerebrospinal fluid culture. Despite administration of an antifungal agent, his condition worsened and he died five days after developing fever. Microscopic findings of the autopsy revealed candidal myocardial abscess. We encountered a rare autopsy case of candidal myocardial abscess in non-hematologic disease. This is an important case report to investigate how to diagnose fungal infections and treat them immediately.
KW - Candida albicans
KW - Fungal infection
KW - Myocardial abscess
UR - http://www.scopus.com/inward/record.url?scp=84879217042&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84879217042&partnerID=8YFLogxK
M3 - Article
AN - SCOPUS:84879217042
VL - 72
SP - 670
EP - 677
JO - Japanese Journal of Chest Diseases
JF - Japanese Journal of Chest Diseases
SN - 0385-3667
IS - 6
ER -