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. 2015:2015:589537.
doi: 10.1155/2015/589537. Epub 2015 Jan 13.

Chronic renal failure presenting for the first time as pulmonary mucormycosis with a fatal outcome

B Jayakrishnan  1 , Jamal Al Aghbari  1 , Dawar Rizavi  1 , Sinnakirouchenan Srinivasan  2 , Ritu Lakhtakia  3 , Dawood Al Riyami  1
Affiliations

Chronic renal failure presenting for the first time as pulmonary mucormycosis with a fatal outcome

B Jayakrishnan et al. Case Rep Nephrol. 2015.

Abstract

Pulmonary mucormycosis is an uncommon, but important, opportunistic fungal pneumonia which is often diagnosed late. Renal failure as the predominant presenting feature is not common in mucormycosis. Moreover, sudden, massive hemoptysis is not a usual complication. In this report we describe fatal pulmonary mucormycosis in a young patient with a previously undiagnosed chronic renal failure.

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Figures

Figure 1
Figure 1
Chest radiograph showing a right mid zone consolidation and a slightly blunt right costophrenic angle.
Figure 2
Figure 2
Bronchoscopy showing inflamed right bronchi and the subdivisions lined by a thick layer of yellow secretions.
Figure 3
Figure 3
Bronchoalveolar lavage specimen showing broad, irregular, aseptate hyphae of Mucor with wide angled branching (arrow-heads) in a neutrophil-rich inflammatory background. (a) Papanicolaou (smear) ×600 and (b) haematoxylin and eosin (cell block) ×600.
See this image and copyright information in PMC

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