Using Microscopic Examination of Sputum for Early Detection of <I>Aspergillus</I> Hyphae to Successfully Treat Invasive Pulmonary Aspergillosis in a Patient with Hemophagocytic Syndrome

• Miyoshi Kahori

  Division of Internal Medicine, Municipal and County Hospital of Miyazaki Medical Association

• Yamashita Shu-ichi

  Third Department of Internal Medicine, Miyazaki University

• Nakazato Masamitsu

  Third Department of Internal Medicine, Miyazaki University

Bibliographic Information

Other Title

• Using Microscopic Examination of Sputum for Early Detection of Aspergillus Hyphae to Successfully Treat Invasive Pulmonary Aspergillosis in a Patient with Hemophagocytic Syndrome

Abstract

ABSTRACT: The prognosis of invasive aspergillosis in immunocompromised hosts is extremely gruesome. We described a 56-year-old man who suffered from invasive pulmonary aspergillosis. He had immunological impairment caused by neutropenia due to hemophagocytic syndrome and high dose glucocorticoid therapy. On the day after his chest radiograph revealed abnormal shadow in the left lung, we detectedAspergillushyphae in his Gram's-stained sputum under a microscope. Thanks to this prompt diagnosis, we could save him without any sequelae. Microscopic examination of sputum without delay is highly recommended when invasive pulmonary aspergillosis is suspected in patients at risk for this macabre disease.

Journal

• General Medicine

  General Medicine 7 (2), 71-75, 2006

  Japan Primary Care Association

Keywords

• invasive pulmonary aspergillosis
• hemophagocytic syndrome
• Gram's stain

Details

• CRID: 1390001205188938240
• NII Article ID: 130003822168
• NII Article ID: 10018492141
• NII Book ID: AA11571086
• DOI: 10.14442/general2000.7.71
• ISSN: 18836011
• ISSN: 13460072
• Web Site: https://search.jamas.or.jp/link/ui/2007232270
• Text Lang: en
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed