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in August, a 24-year-old man from Virginia developed difficulty breathing and bi

ID: 69037 • Letter: I

Question


in August, a 24-year-old man from Virginia developed difficulty breathing and bilateral lobe infiltrates 2 months after driving through California. During initial evaluation, typical pneumonia was suspected, and he was treated with antibiotics. Efforts to diagnosis the pneumonia were unsuccessful. In October, a laryngeal mass was detected, and laryngeal cancer was suspected; treatment with steroids and bronchodilators did not result in improvement. Lung biopsy and laryngoscopy detected diffuse granular tissue. He was treated with amphotericin B and discharged after 5 days. What was the disease? What might have been done differently to decrease the patient’s recovery time from 3 months to one week?

in August, a 24-year-old man from Virginia developed difficulty breathing and bilateral lobe infiltrates 2 months after driving through California. During initial evaluation, typical pneumonia was suspected, and he was treated with antibiotics. Efforts to diagnosis the pneumonia were unsuccessful. In October, a laryngeal mass was detected, and laryngeal cancer was suspected; treatment with steroids and bronchodilators did not result in improvement. Lung biopsy and laryngoscopy detected diffuse granular tissue. He was treated with amphotericin B and discharged after 5 days. What was the disease? What might have been done differently to decrease the patient’s recovery time from 3 months to one week?

in August, a 24-year-old man from Virginia developed difficulty breathing and bilateral lobe infiltrates 2 months after driving through California. During initial evaluation, typical pneumonia was suspected, and he was treated with antibiotics. Efforts to diagnosis the pneumonia were unsuccessful. In October, a laryngeal mass was detected, and laryngeal cancer was suspected; treatment with steroids and bronchodilators did not result in improvement. Lung biopsy and laryngoscopy detected diffuse granular tissue. He was treated with amphotericin B and discharged after 5 days. What was the disease? What might have been done differently to decrease the patient’s recovery time from 3 months to one week?

Explanation / Answer

Since the drug used here in this case is amphotamphotericin which is an antifungal drug the disease could be Pulmonary aspergilloma.

It is a fungal infection of lungs which produces granular mass inside lung cavities