[Rapid development of multiple meniscal signs complicating invasive pulmonary aspergillosis in a patient receiving chemotherapy for acute leukemia].
This report describes the rapid development of multiple meniscal signs complicating invasive pulmonary aspergillosis in a 53-year-old man receiving chemotherapy for acute leukemia. While undergoing first induction therapy for AML, he developed chest pain, and multiple bilateral infiltrations were seen in chest roentgenograms. Administration of antibiotics, antifungal agents, steroid pulse therapy and G-CSF was begun. Pulmonary cavities with meniscal signs developed. The next day, pneumothorax and hemothorax were noted. Although drainage and mechanical ventilation were performed, the patient died after massive hemoptysis. Invasive pulmonary aspergillosis was diagnosed at autopsy.
Matsushita
H
H
First Department of Internal Medicine, Kansai Medical University, Osaka, Japan.
Yamaguchi
K
K
Nakai
K
K
Takafuji
J
J
Ohshiro
A
A
Uehira
K
K
Oyaizu
H
H
Yoshimura
C
C
Shimizu
T
T
Fujimoto
M
M
Kishimoto
Y
Y
Adachi
Y
Y
Fukuhara
S
S
D001228:Aspergillosis / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D015470:Leukemia, Myeloid, Acute / Q000188:drug therapy*; D008172:Lung Diseases, Fungal / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D008875:Middle Aged