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Colegio de Medicina Interna de México.

2021, Number 6

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Med Int Mex 2021; 37 (6)

Isolation of Blastomyces dermatitidis in pleural fluid

Márquez-Quiroz O

Language: Spanish
References: 20
Page: 1080-1086
PDF size: 248.36 Kb.


ABSTRACT

Background: Pleural effusion is the pathological accumulation of fluid between the visceral and parietal pleura, the clinical syndrome is integrated as the abolition of freckles and vesicular murmur, in addition to percussion dullness. Its causes are variable but the analysis of the macro and microscopic characteristics of the spill is very useful to orient us towards the diagnosis. The treatment varies from conservative, toracocentesis, closed thoracostomy and surgical management with washing and decortication, all of the above depending on the etiology and severity of the condition. As for the infectious etiology, fungal pathogens are rare.
Clinical case: A 49-year-old male patient in who fungus Blastomyces dermatitidis was isolated.
Conclusions: Infection by Blastomyces dermatitidis can occur in any person but it is more severe in immunocompromised, being able to affect virtually any organ being more severe pulmonary infections and at the level of the central nervous system; the treatment of mild to moderate forms is with itraconazole, in moderate to severe forms the liposomal formulations of amphotericin B are preferred.


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