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. 2015 Jul 29:9:22-5.
doi: 10.1016/j.mmcr.2015.07.003. eCollection 2015 Sep.

Spontaneous pneumothorax followed by reversed halo sign in immunocompromised patient with pulmonary mucormycosis

Majid Moosavi Movahed  1 , Hadiseh Hosamirudsari  2 , Fariba Mansouri  3 , Farzaneh Mohammadizia  4
Affiliations

Spontaneous pneumothorax followed by reversed halo sign in immunocompromised patient with pulmonary mucormycosis

Majid Moosavi Movahed et al. Med Mycol Case Rep. .

Abstract

Mucormycosis, an invasive fungus with a variety of clinical presentation, is a devastating infection in immunocompromised host. Here an unusual case of pulmonary mucormycosis is introduced in an immunodeficient patient in which pneumothorax was followed by reversed halo sign (RHS). The clinicians, who visit immunocompromised persons with pneumothorax, should be considerate to take immediate imaging and pathologic measures to confirm or reject mucormycosis.

Keywords: Immunocompromised patient; Mucormycosis; Pneumothorax; Reversed halo sign.

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Figures

Fig. 1
Fig. 1
Axial noncontrast chest computed tomography (CT) image on day 0: showing large pneumothorax with pleural effusion.
Fig. 2
Fig. 2
Right eye conjunctivitis with medial side necrosis and black scar in right nasal ala.
Fig. 3
Fig. 3
Coronal PNS CT scan shows soft tissue density lesion in ethmoid sinus with extension to orbit without bone destruction.
Fig. 4
Fig. 4
Chest CT scan on day +9 hospital day after tube thoracostomy: showing the reversed halo sign (RHS): a ring of consolidation (black arrow) with central grand glass opacity and bilateral pleural effusion.
Fig.5
Fig.5
Section of tongue biopsy: showing ulcerated squamous epithelial mucosa with subepithelial fibro fatty tissue and skeletal muscle fibers.
Fig. 6
Fig. 6
The nonseptate short and wide hyphae of mucormycetes.
See this image and copyright information in PMC

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