Sao Paulo Medical Journal
On-line version ISSN 1806-9460
VELLOSO, Elvira Deolinda Rodrigues Pereira; MARTINEZ, Gracia Aparecida; DORLHIAC-LLACER, Pedro Enrique and CHAMONE, Dalton Alencar Fischer. Aspergillary bronchopneumonia: an unusual cause of atelectasis and asphyxia in a leukemic patient. Sao Paulo Med. J. [online]. 1994, vol.112, n.4, pp. 639-641. ISSN 1806-9460. http://dx.doi.org/10.1590/S1516-31801994000400004.
A 22-year-old man in his first relapse of T-acute lymphoblastic leukemia developed fever and a pulmonary infiltrate after 23 days of granulocytopenia. Although having been under amphotericin B for 10 days, productive purulent cough ensued, with right lobe atelectasis and acute ventilatory failure that resolved after the elimination of a thick gelatinous bronchial plug. Sputum cultures yielded Candida Albicans and Staphylococcus epidermidis, and microscopic examination of the sputum plug disclosed Aspergillus hyphae. The patient died 9 days after, of a disseminated Aspergillus infection, confirmed by necropsy.
Keywords : aspergillosis; atelectasis; leukemia.