Challenges in the diagnosis of pulmonary mucormycosis in a diabetic with a review of literature
<p dir="ltr">Diabetes Mellitus appears to be the most common underlying condition associated with mucormycosis; a rare opportunistic fungal infection associated with high morbidity and mortality. Pulmonary mucormycosis may mimic pneumonia and thus pose challenges in achieving a timel...
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2021
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| _version_ | 1864513547035213824 |
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| author | Muhammad Yousaf (754345) |
| author2 | Sarah Salameh (14151645) Irfan Ul Haq (9853260) Samir Alhyassat (17280538) Merlin Thomas (6252059) Aisha Hussain (15173486) Mohd Wani (17280541) Ehab Massad (17280544) Hamad Abdel Hadi (11819159) Hisham Abdul Sattar (17280547) Mansoor Hameed (11324145) |
| author2_role | author author author author author author author author author author |
| author_facet | Muhammad Yousaf (754345) Sarah Salameh (14151645) Irfan Ul Haq (9853260) Samir Alhyassat (17280538) Merlin Thomas (6252059) Aisha Hussain (15173486) Mohd Wani (17280541) Ehab Massad (17280544) Hamad Abdel Hadi (11819159) Hisham Abdul Sattar (17280547) Mansoor Hameed (11324145) |
| author_role | author |
| dc.creator.none.fl_str_mv | Muhammad Yousaf (754345) Sarah Salameh (14151645) Irfan Ul Haq (9853260) Samir Alhyassat (17280538) Merlin Thomas (6252059) Aisha Hussain (15173486) Mohd Wani (17280541) Ehab Massad (17280544) Hamad Abdel Hadi (11819159) Hisham Abdul Sattar (17280547) Mansoor Hameed (11324145) |
| dc.date.none.fl_str_mv | 2021-07-08T00:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1016/j.rmcr.2021.101474 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Challenges_in_the_diagnosis_of_pulmonary_mucormycosis_in_a_diabetic_with_a_review_of_literature/24433114 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Cardiovascular medicine and haematology Clinical sciences Mucormycosis Zygomycosis Invasive fungal infections Diabetes Pneumonia Antifungal Hemoptysis |
| dc.title.none.fl_str_mv | Challenges in the diagnosis of pulmonary mucormycosis in a diabetic with a review of literature |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <p dir="ltr">Diabetes Mellitus appears to be the most common underlying condition associated with mucormycosis; a rare opportunistic fungal infection associated with high morbidity and mortality. Pulmonary mucormycosis may mimic pneumonia and thus pose challenges in achieving a timely diagnosis critical to successful outcomes. We present a case of a 65-year-old diabetic who presented with fever and haemoptysis that was managed as pneumonia. A bronchial alveolar lavage grew Rhizopus mould that was thought to be a contaminant as he responded well to antibiotics. He required another admission in 4 weeks due to worsening symptoms. Failure to respond to antibiotics and ongoing clinical and radiological deterioration led to a lobectomy that confirmed a diagnosis of pulmonary mucormycosis. He responded well to surgical resection and antifungal therapy with a complete recovery. Elusive clinical presentation and insensitive conventional diagnostic techniques may make the diagnosis of mucormycosis challenging. Our case reports highlight the issues involved in the diagnosis and management of pulmonary Mucormycosis mimicking as pneumonia.</p><h2>Other Information</h2><p dir="ltr">Published in: Respiratory Medicine Case Reports<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.rmcr.2021.101474" target="_blank">https://dx.doi.org/10.1016/j.rmcr.2021.101474</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_8a13f639d947a2a6d6eef66d419d7013 |
| identifier_str_mv | 10.1016/j.rmcr.2021.101474 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/24433114 |
| publishDate | 2021 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Challenges in the diagnosis of pulmonary mucormycosis in a diabetic with a review of literatureMuhammad Yousaf (754345)Sarah Salameh (14151645)Irfan Ul Haq (9853260)Samir Alhyassat (17280538)Merlin Thomas (6252059)Aisha Hussain (15173486)Mohd Wani (17280541)Ehab Massad (17280544)Hamad Abdel Hadi (11819159)Hisham Abdul Sattar (17280547)Mansoor Hameed (11324145)Biomedical and clinical sciencesCardiovascular medicine and haematologyClinical sciencesMucormycosisZygomycosisInvasive fungal infectionsDiabetesPneumoniaAntifungalHemoptysis<p dir="ltr">Diabetes Mellitus appears to be the most common underlying condition associated with mucormycosis; a rare opportunistic fungal infection associated with high morbidity and mortality. Pulmonary mucormycosis may mimic pneumonia and thus pose challenges in achieving a timely diagnosis critical to successful outcomes. We present a case of a 65-year-old diabetic who presented with fever and haemoptysis that was managed as pneumonia. A bronchial alveolar lavage grew Rhizopus mould that was thought to be a contaminant as he responded well to antibiotics. He required another admission in 4 weeks due to worsening symptoms. Failure to respond to antibiotics and ongoing clinical and radiological deterioration led to a lobectomy that confirmed a diagnosis of pulmonary mucormycosis. He responded well to surgical resection and antifungal therapy with a complete recovery. Elusive clinical presentation and insensitive conventional diagnostic techniques may make the diagnosis of mucormycosis challenging. Our case reports highlight the issues involved in the diagnosis and management of pulmonary Mucormycosis mimicking as pneumonia.</p><h2>Other Information</h2><p dir="ltr">Published in: Respiratory Medicine Case Reports<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.rmcr.2021.101474" target="_blank">https://dx.doi.org/10.1016/j.rmcr.2021.101474</a></p>2021-07-08T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.rmcr.2021.101474https://figshare.com/articles/journal_contribution/Challenges_in_the_diagnosis_of_pulmonary_mucormycosis_in_a_diabetic_with_a_review_of_literature/24433114CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/244331142021-07-08T00:00:00Z |
| spellingShingle | Challenges in the diagnosis of pulmonary mucormycosis in a diabetic with a review of literature Muhammad Yousaf (754345) Biomedical and clinical sciences Cardiovascular medicine and haematology Clinical sciences Mucormycosis Zygomycosis Invasive fungal infections Diabetes Pneumonia Antifungal Hemoptysis |
| status_str | publishedVersion |
| title | Challenges in the diagnosis of pulmonary mucormycosis in a diabetic with a review of literature |
| title_full | Challenges in the diagnosis of pulmonary mucormycosis in a diabetic with a review of literature |
| title_fullStr | Challenges in the diagnosis of pulmonary mucormycosis in a diabetic with a review of literature |
| title_full_unstemmed | Challenges in the diagnosis of pulmonary mucormycosis in a diabetic with a review of literature |
| title_short | Challenges in the diagnosis of pulmonary mucormycosis in a diabetic with a review of literature |
| title_sort | Challenges in the diagnosis of pulmonary mucormycosis in a diabetic with a review of literature |
| topic | Biomedical and clinical sciences Cardiovascular medicine and haematology Clinical sciences Mucormycosis Zygomycosis Invasive fungal infections Diabetes Pneumonia Antifungal Hemoptysis |