Spontaneous pneumothorax followed by reversed halo sign in immunocompromised patient with pulmonary mucormycosis
نویسندگان
چکیده
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.
منابع مشابه
Sequential morphological changes in follow-up CT of pulmonary mucormycosis.
PURPOSE We aimed to describe the computed tomography (CT) features of pulmonary mucormycosis including sequential changes between follow-ups. MATERIALS AND METHODS Between June 2001 and May 2011, five patients (three males and two females; median age, 43 years; age range, 13-73 years) who had been pathologically diagnosed with pulmonary mucormycosis constituted our study population. Their cli...
متن کاملThe diagnostic value of halo and reversed halo signs for invasive mold infections in compromised hosts.
The halo sign is a CT finding of ground-glass opacity surrounding a pulmonary nodule or mass. The reversed halo sign is a focal rounded area of ground-glass opacity surrounded by a crescent or complete ring of consolidation. In severely immunocompromised patients, these signs are highly suggestive of early infection by an angioinvasive fungus. The halo sign and reversed halo sign are most commo...
متن کاملClinical picture Reverse halo sign in pulmonary mucormyosis
Reverse halo sign (RHS), also called the atoll sign, was described as a rim of consolidation surrounding a center of ground-glass opacity on computed tomography (CT). Although RHS was previously considered as non-specific sign for various disorders, recent study showed that it is a strong indicator of pulmonary mucormycosis (PM). We present a case of PM with typical imaging presentation on CT, ...
متن کاملIs It Time to Include CT “Reverse Halo Sign” and qPCR Targeting Mucorales in Serum to EORTC-MSG Criteria for the Diagnosis of Pulmonary Mucormycosis in Leukemia Patients?
In 23 leukemia patients with proven (n = 17) or possible (n = 6) pulmonary mucormycosis (PM), the presence of reversed halo sign on computed tomography was strongly associated with the positivity of quantitative polymerase chain reaction assays targeting Mucorales in the serum, confirming the value of these two tools for the diagnosis of PM in this setting.
متن کاملPathophysiological implication of reversed CT halo sign in invasive pulmonary mucormycosis: a rare case report
BACKGROUND It has been accepted that reversed halo sign (RHS) appeared on a computed tomography (CT) image in immunocompromised patients indicates an invasive fungal infection, but its pathophysiology remains obscure as to what this image implies. Therefore, the present report describes detailed radiological and histopathological findings of a case of invasive pulmonary mucormycosis (IPM) prese...
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