Journals / İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi / 2014 / Cilt: 4 - Sayı: 3

Lung abscess in a child with acute lymphoblastic leukemia undistinguishable from fungal infection: Case report

Akut lenfoblastik lösemili çocukta mantar infeksiyonu ile ayırt edilemeyen akciğer apsesi: Olgu sunumu

Pages
202–205
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We wish to draw attention to the fact that in patients with pulmonary mass lesions and febrile neutropenia, fungal balls, tumor metastasis and abscesses have a similar appe - arance in the early phase of the disease.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Many opportunistic infections occur in febrile neutropenic patients after chemotherapy.
📊
Key Findings & Data:After antimicrobial treatment and 52 days after surgical intervention the patient was discharged.
💡
Conclusion & Impact:We wish to draw attention to the fact that in patients with pulmonary mass lesions and febrile neutropenia, fungal balls, tumor metastasis and abscesses have a similar appe - arance in the early phase of the disease.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Many opportunistic infections occur in febrile neutropenic patients after chemotherapy. When mass lesions are found in the lungs of febrile neutropenic patients the first things that come to mind are tumor metastasis and yeast infections. Lung abscess that presents with the appearance of a mass lesion is a very rarely seen condition. This paper presents a febrile neutropenic patient with an abscess caused by ESBL (-) E.coli with mass appearance similar to fungal ball and tumor metastasis. After antimicrobial treatment and 52 days after surgical intervention the patient was discharged. We wish to draw attention to the fact that in patients with pulmonary mass lesions and febrile neutropenia, fungal balls, tumor metastasis and abscesses have a similar appe - arance in the early phase of the disease.

Özet

Kemoterapi sonrasında febril nötropenik hastalarda birçok fırsatçı enfeksiyon meydana gelmektedir. Febril nötropenik hastalarda akciğerde kitle saptandığında ilk olarak tümör metastazı ve mantar enfeksiyonları akla gelmektedir. Kitle izlenimi veren akciğer apseleri ise son derece ender bir durumdur. Bu makalede febril nötropenik bir hastada kitle görünümü veren mantar topu ve tümör metastazı ile karışan ESBL (-) E.coli ye bağlı olarak apse gelişen hastayı sunu- yoruz. Hasta uygun antimikrobiyal tedavi ve cerrrahi girişim ile 52 günde şifa ile taburcu edilmiştir. Febril nötropenisi olup, akciğerinde kitle lezyonu tespit edilen hastalarda mantar topu, tümör metastazı ile birlikte apselerin erken dönemlerinde benzer görünümde olabileceğine dikkat çekmek istedik.

🔖

Cite This Article

ÇAĞAN, E., SOYSAL, A., KOÇ, A. (2014). Lung abscess in a child with acute lymphoblastic leukemia undistinguishable from fungal infection: Case report. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi, Cilt: 4 - Sayı: 3, 202–205. https://ajindex.com/articles/212612

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (7)

  1. Dobranowski J, Stringer DA. Diagnosis of Legionella lung abscess by percutaneous needle aspiration. Can Assoc Radiol J 1989;40(1):43-4
  2. Shapiro ME, Kasper DL, Zaleznik DF, Spriggs S, Onderdonk AB, Finberg RW. Cellular control of abscess formation: role of T cells in the regulation of abscesses formed in response to Bacteroides fragilis. J Immunol 1986;137(1):341-6
  3. Doan ML FLS. Children's interstitial lung disease and hyper- sensıtıvity pneumonitis. In: Feigin RD D-HGCJKS, editor. TextBook of Pediatrics Infectious Dıseases 6 th edition. Philedelphia: 2009, p. 336-41
  4. Roberts SD, Wells GM, Gandhi NM, York NR, Maron G, Razzouk B, et al. Diagnostic value of routine chest radiog - raphy in febrile, neutropenic children for early detection of pneumonia and mould infections. Support Care Cancer 2012;20(10):2589-94.
  5. Ho DY, Lin M, Schaenman J, Rosso F, Leung AN, Coutre SE, et al. Yield of diagnostic procedures for invasive fungal infections in neutropenic febrile patients with chest computed tomography abnormalities. Mycoses 2011;54(1):59-70.
  6. Powell KR. Primary pulmonary abscess. Am J Dis Child 1982;136(6):489-90
  7. Vainrub B, Musher DM, Guinn GA, Young EJ, Septimus EJ, Travis LL. Percutaneous drainage of lung abscess. Am Rev Respir Dis 1978;117(1):153-60.