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Behçet's disease with invasive pulmonary aspergillosis and Aspergillus auriculatus infection: A case report

RATIONALE: Behçet's disease (BD) is an inflammatory disease that leads to multisystemic immune dysfunction and that involves pulmonary system alterations. PATIENT CONCERNS: A 26-year-old woman presented with dull right chest pain for 30 days and intermittent cough with expectoration for 5 days....

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Autores principales: Sun, Fenfen, Cao, Hui, Wang, Fan, Cao, Guoqiang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7015660/
https://www.ncbi.nlm.nih.gov/pubmed/32028403
http://dx.doi.org/10.1097/MD.0000000000018938
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author Sun, Fenfen
Cao, Hui
Wang, Fan
Cao, Guoqiang
author_facet Sun, Fenfen
Cao, Hui
Wang, Fan
Cao, Guoqiang
author_sort Sun, Fenfen
collection PubMed
description RATIONALE: Behçet's disease (BD) is an inflammatory disease that leads to multisystemic immune dysfunction and that involves pulmonary system alterations. PATIENT CONCERNS: A 26-year-old woman presented with dull right chest pain for 30 days and intermittent cough with expectoration for 5 days. She had a history of recurrent oral ulcer and constitutional rash 2 months prior. DIAGNOSES: The patient was diagnosed with BD complicated by IPA and Aspergillus auriculatus infection. INTERVENTIONS: The patient was administered itraconazole oral solution (200 mg b.i.d) to treat the fungal infection. After a diagnosis of BD was made, she received 40 mg of methylprednisolone sodium succinate daily for 1 week. Then, she also received 24 mg of methylprednisolone sodium succinate daily, which was decreased by 2 mg per half month, until the rash had resolved. The patient continued to receive 200 mg Q. D itraconazole orally for 3 months. Thereafter, itraconazole was stopped, while daily oral administration of 10 mg of methylprednisolone sodium succinate was continued. OUTCOMES: The rash was observed to resolve, and CT revealed that the lesions in both the right and left lung were reduced. During a telephone follow-up performed after 6 months, the patient stated that no symptoms had recurred during the follow-up period. LESSONS: This case illustrates that for patients with BD, ignoring extrapulmonary symptoms often leads to a delayed diagnosis. Physicians should perform a thorough medical history and physical examination of these patients, as the information obtained in this manner may provide important clues for disease diagnosis and treatment.
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spelling pubmed-70156602020-02-26 Behçet's disease with invasive pulmonary aspergillosis and Aspergillus auriculatus infection: A case report Sun, Fenfen Cao, Hui Wang, Fan Cao, Guoqiang Medicine (Baltimore) 6700 RATIONALE: Behçet's disease (BD) is an inflammatory disease that leads to multisystemic immune dysfunction and that involves pulmonary system alterations. PATIENT CONCERNS: A 26-year-old woman presented with dull right chest pain for 30 days and intermittent cough with expectoration for 5 days. She had a history of recurrent oral ulcer and constitutional rash 2 months prior. DIAGNOSES: The patient was diagnosed with BD complicated by IPA and Aspergillus auriculatus infection. INTERVENTIONS: The patient was administered itraconazole oral solution (200 mg b.i.d) to treat the fungal infection. After a diagnosis of BD was made, she received 40 mg of methylprednisolone sodium succinate daily for 1 week. Then, she also received 24 mg of methylprednisolone sodium succinate daily, which was decreased by 2 mg per half month, until the rash had resolved. The patient continued to receive 200 mg Q. D itraconazole orally for 3 months. Thereafter, itraconazole was stopped, while daily oral administration of 10 mg of methylprednisolone sodium succinate was continued. OUTCOMES: The rash was observed to resolve, and CT revealed that the lesions in both the right and left lung were reduced. During a telephone follow-up performed after 6 months, the patient stated that no symptoms had recurred during the follow-up period. LESSONS: This case illustrates that for patients with BD, ignoring extrapulmonary symptoms often leads to a delayed diagnosis. Physicians should perform a thorough medical history and physical examination of these patients, as the information obtained in this manner may provide important clues for disease diagnosis and treatment. Wolters Kluwer Health 2020-02-07 /pmc/articles/PMC7015660/ /pubmed/32028403 http://dx.doi.org/10.1097/MD.0000000000018938 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 6700
Sun, Fenfen
Cao, Hui
Wang, Fan
Cao, Guoqiang
Behçet's disease with invasive pulmonary aspergillosis and Aspergillus auriculatus infection: A case report
title Behçet's disease with invasive pulmonary aspergillosis and Aspergillus auriculatus infection: A case report
title_full Behçet's disease with invasive pulmonary aspergillosis and Aspergillus auriculatus infection: A case report
title_fullStr Behçet's disease with invasive pulmonary aspergillosis and Aspergillus auriculatus infection: A case report
title_full_unstemmed Behçet's disease with invasive pulmonary aspergillosis and Aspergillus auriculatus infection: A case report
title_short Behçet's disease with invasive pulmonary aspergillosis and Aspergillus auriculatus infection: A case report
title_sort behçet's disease with invasive pulmonary aspergillosis and aspergillus auriculatus infection: a case report
topic 6700
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7015660/
https://www.ncbi.nlm.nih.gov/pubmed/32028403
http://dx.doi.org/10.1097/MD.0000000000018938
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