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Paecilomyces Fungemia in an Immunocompetent Host

Paecilomyces Fungemia in an Immunocompetent Host an Paecilomyces Fungemia in Immunocompetent Host M.D. with crépitant rales in the right upper lobe. She was afebrile with a pa02 of 73 on room air, a white blood cell count of 14,400 mm3 with 80 percent polymorphonuclear cells and 2 percent bands, erythrocyte sedimentation rates (ESR) of 114 and 119 mm/hr, and an otherwise unremarkable hemogram and chemistry profile. Chest radiograph revealed subsegmental infiltrate in the right upper lobe and a massive hiatal hernia. A tuberculin test (5TU PPD) was negative. Lung scanning was negative for pulmonary embolie disease and there was no clinical evidence of pulmonary aspiration. Blood cultures were The patient was readmitted. Her white blood cell count was now found to be 15,100 mm3 with 1 percent band forms; she had an ESR of 100 mm/hr, and her hematocrit and hemoglobin values were 35 percent and 11.9 gms, respectively. A chest radiograph revealed slight expansion of the original right upper lobe pneumonitis with extension across the fissure line. Mycoplasma complement fixation tests, studies for chlamydial antibodies, and the cold agglutinin titer were all negative. Bronchoscopic examination was unremarkable, and cultures obtained were positive only for Haemophilus species. Open biopsy of the right upper lobe http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png AIDS Patient Care Mary Ann Liebert

Paecilomyces Fungemia in an Immunocompetent Host

AIDS Patient Care , Volume 8 (6) – Dec 1, 1994

Paecilomyces Fungemia in an Immunocompetent Host

AIDS Patient Care , Volume 8 (6) – Dec 1, 1994

Abstract

an Paecilomyces Fungemia in Immunocompetent Host M.D. with crépitant rales in the right upper lobe. She was afebrile with a pa02 of 73 on room air, a white blood cell count of 14,400 mm3 with 80 percent polymorphonuclear cells and 2 percent bands, erythrocyte sedimentation rates (ESR) of 114 and 119 mm/hr, and an otherwise unremarkable hemogram and chemistry profile. Chest radiograph revealed subsegmental infiltrate in the right upper lobe and a massive hiatal hernia. A tuberculin test (5TU PPD) was negative. Lung scanning was negative for pulmonary embolie disease and there was no clinical evidence of pulmonary aspiration. Blood cultures were The patient was readmitted. Her white blood cell count was now found to be 15,100 mm3 with 1 percent band forms; she had an ESR of 100 mm/hr, and her hematocrit and hemoglobin values were 35 percent and 11.9 gms, respectively. A chest radiograph revealed slight expansion of the original right upper lobe pneumonitis with extension across the fissure line. Mycoplasma complement fixation tests, studies for chlamydial antibodies, and the cold agglutinin titer were all negative. Bronchoscopic examination was unremarkable, and cultures obtained were positive only for Haemophilus species. Open biopsy of the right upper lobe

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Publisher
Mary Ann Liebert
Copyright
Copyright 1994 Mary Ann Liebert, Inc.
Subject
Clinical Case Report
ISSN
0893-5068
eISSN
1557-7449
DOI
10.1089/apc.1994.8.308
Publisher site
See Article on Publisher Site

Abstract

an Paecilomyces Fungemia in Immunocompetent Host M.D. with crépitant rales in the right upper lobe. She was afebrile with a pa02 of 73 on room air, a white blood cell count of 14,400 mm3 with 80 percent polymorphonuclear cells and 2 percent bands, erythrocyte sedimentation rates (ESR) of 114 and 119 mm/hr, and an otherwise unremarkable hemogram and chemistry profile. Chest radiograph revealed subsegmental infiltrate in the right upper lobe and a massive hiatal hernia. A tuberculin test (5TU PPD) was negative. Lung scanning was negative for pulmonary embolie disease and there was no clinical evidence of pulmonary aspiration. Blood cultures were The patient was readmitted. Her white blood cell count was now found to be 15,100 mm3 with 1 percent band forms; she had an ESR of 100 mm/hr, and her hematocrit and hemoglobin values were 35 percent and 11.9 gms, respectively. A chest radiograph revealed slight expansion of the original right upper lobe pneumonitis with extension across the fissure line. Mycoplasma complement fixation tests, studies for chlamydial antibodies, and the cold agglutinin titer were all negative. Bronchoscopic examination was unremarkable, and cultures obtained were positive only for Haemophilus species. Open biopsy of the right upper lobe

Journal

AIDS Patient CareMary Ann Liebert

Published: Dec 1, 1994

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