Medical ablation of endobronchial mucormycosis with Amphotericin-B.
A 56 years male diabetic patient presented with recurrent left upper lobe pneumonia. Fiberoptic bronchoscopy revealed extraluminal compression of left main bronchus with an endobronchial mass obstructing the left upper lobe orifice. The lesion resembled bronchial adenoma. However histological examination revealed mucormycosis. Timely diagnosis followed by medical intervention with intravenous Amphotericin B, coupled with proper management of diabetes, ablated the tumor. Relevant literature on the subject is reviewed.
Viswam
Darsana
D
Department of Pulmonary Medicine, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala.
Gopinathan
V P
VP
Indira
Kumari
K
Vinod
Shalini
S
Sasankan
Natasha
N
D000666:Amphotericin B / Q000008:administration & dosage / Q000627:therapeutic use*; D000935:Antifungal Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D001999:Bronchoscopy; D003920:Diabetes Mellitus; D006801:Humans; D007275:Injections, Intravenous; D008172:Lung Diseases, Fungal / Q000175:diagnosis / Q000188:drug therapy*; D008297:Male; D008875:Middle Aged; D009091:Mucormycosis / Q000175:diagnosis / Q000188:drug therapy*; D011014:Pneumonia
D000935:Antifungal Agents; D000666:Amphotericin B