Case Report

Volume: 4 | Issue: 10 | Published: Oct 25, 2020 | Pages: 336 - 338 | DOI: 10.24911/ejmcr/173-1578851015

Pulmonary aspergillosis is a rare finding in diabetic patients: a case report


Authors: Anum Ashfaq


Article Info

Authors

Anum Ashfaq

Resident in General Medicine, Pakistan Atomic Energy Commission General Hospital, Islamabad, Pakistan.

Publication History

Received: January 12, 2020

Revised: September 16, 2020

Accepted: September 24, 2020

Published: October 25, 2020


Abstract


Background: Aspergillosis is an infection caused by a common mold (type of fungus) named Aspergillus. Its spores are present in air but usually do not cause any disease in immune-competent people. However, it can cause various types of diseases, which most commonly involve the respiratory system. Early recognition and treatment are important for better outcomes. Case Presentation: A middle-aged diabetic male presented with high blood glucose levels leading to hyperosmolar hyperglycemic non-ketotic coma and was treated accordingly. His baseline chest X-ray showed reticulo-nodular shadowing and cavitatory lesion in left middle zone and was being treated on the lines of pneumonia. After 4 days of treatment, the patient did not improve and had had contrast enhanced CT-scan chest showing a reverse halo sign along with a fungal ball in the lung cavity. His white blood cells were increased, erythrocyte sedimentation rate was normal, and sputum for acid-fast bacilli was negative, but positive for Aspergillus species. Conclusion: Diagnosis of pulmonary aspergillosis was made and the patient was managed accordingly with intravenous antifungal therapy. Early diagnosis and treatment is necessary.

Keywords: Aspergillosis, reverse halo sign, aspergilloma, diabetes, green


Pubmed Style

Anum Ashfaq. Pulmonary aspergillosis is a rare finding in diabetic patients: a case report. EJMCR. 2020; 25 (October 2020): 336-338. doi:10.24911/ejmcr/173-1578851015

Web Style

Anum Ashfaq. Pulmonary aspergillosis is a rare finding in diabetic patients: a case report. https://ejmcr.com/articles/1382 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1578851015

AMA (American Medical Association) Style

Anum Ashfaq. Pulmonary aspergillosis is a rare finding in diabetic patients: a case report. EJMCR. 2020; 25 (October 2020): 336-338. doi:10.24911/ejmcr/173-1578851015

Vancouver/ICMJE Style

Anum Ashfaq. Pulmonary aspergillosis is a rare finding in diabetic patients: a case report. EJMCR. (2020), [cited December 25, 2024]; 25 (October 2020): 336-338. doi:10.24911/ejmcr/173-1578851015

Harvard Style

Anum Ashfaq (2020) Pulmonary aspergillosis is a rare finding in diabetic patients: a case report. EJMCR, 25 (October 2020): 336-338. doi:10.24911/ejmcr/173-1578851015

Chicago Style

Anum Ashfaq. "Pulmonary aspergillosis is a rare finding in diabetic patients: a case report." 25 (2020), 336-338. doi:10.24911/ejmcr/173-1578851015

MLA (The Modern Language Association) Style

Anum Ashfaq. "Pulmonary aspergillosis is a rare finding in diabetic patients: a case report." 25.October 2020 (2020), 336-338. Print. doi:10.24911/ejmcr/173-1578851015

APA (American Psychological Association) Style

Anum Ashfaq (2020) Pulmonary aspergillosis is a rare finding in diabetic patients: a case report. , 25 (October 2020), 336-338. doi:10.24911/ejmcr/173-1578851015