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Spontaneous Pneumothorax in an Allogeneic Cell Transplant Recipient with Invasive Pulmonary Aspergillosis and Antecedent RSV Pneumonitis.

By Liang-Piu Koh, Michelle Li-Mei Poon, John Kit-Chung Tam, Lynette Teo and Li-Yang Hsu

Abstract

We report a case of invasive pulmonary aspergillosis (IPA) following respiratory syncytial virus infection in an allogeneic hematopoietic stem cell transplant (HSCT) recipient with chronic graft-versus-host disease. Delayed diagnosis of IPA resulted in the development of a pneumothorax, a rare consequence of fungal pneumonia. Respiratory virus infections are often harbingers of other infective organisms in HSCT recipients. More aggressive diagnostic investigations such as computed tomography scans of the thorax and bronchoscopy with bronchoalveolar lavage should be considered early in any HSCT patient presenting with respiratory virus pneumonia, particularly if atypical features are present or recovery is delayed

Topics: Case Reports
Publisher: Università Cattolica del Sacro Cuore
OAI identifier: oai:pubmedcentral.nih.gov:3103259
Provided by: PubMed Central

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