[Acute non-septicaemic broncho-pulmonary aspergillosis. One case in a patient with no obvious immune deficiency (author's transl)].
A 55-year-old man, alcoholic, and with a past history of tuberculosis, suddenly suffered a pneumococcal pneumonia which favourised the onset of predelirium tremens and then generalised convulsions. The latter, in combination with the administration of sedatives, resulted in acute respiratory insufficiency. Assisted ventilation proved necessary. After a brief improvement, fever recurred and extensive pulmonary necrosis developed. The patient died 32 days later, all aetiological studies having proved negative. The diagnosis was made at autopsy which revealed the presence of multiple pulmonary aspergillus abcesses and a purulent bronchitis due to the same fungus. Aspergillus serology had not been done.
D000208:Acute Disease; D000437:Alcoholism / Q000150:complications; D001228:Aspergillosis / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D008169:Lung Abscess / Q000209:etiology; D008172:Lung Diseases, Fungal / Q000150:complications / Q000209:etiology* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D011018:Pneumonia, Pneumococcal / Q000150:complications
Aspergillose broncho-pulmonaire aiguë non septicémique. Observation chez un malade sans déficit immunitaire patent.