A Case of Pulmonary Mucormycosis Mimicking Bilateral Pulmonary Edema on Chest X-ray.

Yu, Seung Chul; Suhr, Ji Won; Bae, Hye Kyung; Lee, Jong Min; Moon, Hwa Sik; Song, Jeong Sup; Park, Seok Yeong; Lee, Eun Hee; Park, Sung Hak

doi:1998.45.1.213

Tuberc Respir Dis > Volume 45(1); 1998 > Article

Case Report

Tuberculosis and Respiratory Diseases 1998;45(1):213-221.
DOI: https://doi.org/10.4046/trd.1998.45.1.213 Published online February 1, 1998.

A Case of Pulmonary Mucormycosis Mimicking Bilateral Pulmonary Edema on Chest X-ray.

Seung Chul Yu, Ji Won Suhr, Hye Kyung Bae, Jong Min Lee, Hwa Sik Moon, Jeong Sup Song, Seok Yeong Park, Eun Hee Lee, Sung Hak Park

¹Department of Internal Medicine, Taejeon ST. Mary Hospital, Catholic University Medical School, Taejeon, Korea.
²Department of Clinical Pathology, Taejeon ST. Mary Hospital, Catholic University Medical School, Taejeon, Korea.

Abstract

Pulmonary mucormycosis is an uncommon, but important opportunistic fungal infection associated with diabetes mellitus, leukemia, lymphoma and other immunocompromised states. Mucor species grow best in acidichigh glucose medium, which explaining the particular susceptibility of diabetic patient who are ketoacidic. Early consideration of this diagnosis, along with aggressive diagnostic evaluation, is critical to effective therapy and patient survival. We have experienced a case of pulmonary murcomycosis mimicking bilateral puimonary edema on chest X-ray that associated with diabetic ketoacidosis. A brief review of the literature was given.

Key Words: Fungal infection, Pulmonary mucormycosis, Amphotericin B, Ketoacidosis