Work

Aspergilosis broncopulmonar alérgica en un paciente con diabetes mellitus como único factor de riesgo

Year: 2024

Type: article

Abstract: BACKGROUND: Allergic bronchopulmonary aspergillosis is a rare entity, caused by a hypersensitivity reaction of the immune system to Aspergillus fumigatus, characterized by the presence of pulmonary infiltrates, bronchiectasis and increased eosinophils in peripheral blood. CASE REPORT: 42-year-old male with diabetes mellitus, with poor adherence to treatment, went to the emergency room due to rapidly progressive dyspnea and severe hypoxemia, pneumonia and bilateral pleural effusion were evident, laboratory studies reported, HbA1c 9.4%, eosinophils 3650 cells/mL, serum IgE for Aspergillus fumigatus 0.84 IU/mL. Treatment was started with supplemental oxygen, prednisone and itraconazole, to which the patient showed clinical and radiological improvement. CONCLUSIONS: Invasive mycoses have a mortality of 21 to 80%, frequently in immunocompromised patients, they are usually not described in patients with diabetes mellitus; The prevalence of fungal colonization among diabetic patients has been described as 37% compared to 4.7% in non-diabetic patients.

Source: Revista Alergia México

DOI: 10.29262/ram.v71i3.1383

Authors: Alejandro Hernández Solis, Guillermo Velázquez-Sámano, Verónica Apolinar-Juárez, Eliasib Mojica Jaimes, Fryda Jareth Serna Valle, Yutzil Merari Velazquez Gachuz

Institutions: Hospital General de México, Universidad Anáhuac, Universidad Nacional Autónoma de México, Facultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México

Language: English

Topic: Antifungal resistance and susceptibility

Subfield: Infectious Diseases

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $300