Fatal invasive pulmonary aspergillosis presenting as profound hypoglycemia in a patient with anorexia nervosa.
A 29-year-old woman with anorexia nervosa was admitted because of an episode of severe and persistent hypoglycemia. Chest X-ray showed multiple cavitary lesions and subsequent sputum culture revealed heavy growth of Aspergillus niger. In spite of intensive antimicrobial and supportive therapy, the patient died of respiratory failure and cardiovascular collapse. The potential relationships between anorexia nervosa, hypoglycemia, and infection are discussed.
Shimoni
Zvi
Z
Department of Internal Medicine B, Sanz Medical Center, Laniado Hospital, Kiryat Sanz, Netanya 42150, Israel.
Goldenberg
Alexander
A
Niven
Mark
M