title: [Invasive pulmonary aspergillosis and esophageal candidiasis in a patient with decompensated liver cirrhosis due to chronic hepatitis C and alcohol].
abstract: We present a rare case of combined fungal infection in a critically ill 47 year-old patient with chronic hepatitis C at the stage of liver cirrhosis. The patient was admitted for signs of decompensated cirrhosis caused by hepatitis C and increased alcohol consumption. After 2 week hospital stay, his condition was complicated by a pulmonary infiltrate and rapid deterioration followed. Despite intensive care, the patient died. Autopsy findings showed invasive pulmonary aspergillosis. The aim of this case report is to point to a broad differential diagnosis of jaundice and pulmonary infiltrates, thus stressing the value of interdisciplinary cooperation and the need to consider the possibility of invasive fungal infections when caring for liver cirrhosis patients. In addition, several risk factors contributing to the development of fungal diseases in these patients are discussed in the article.
authors.affiliation: Klinika infektológie a cestovnej medicíny, UNLP a LF UPJŠ, Košice. stefan.porubcin@fnlp.sk
authors.forename: Štefan
authors.initials: Š
authors.lastname: Porubčin
authors.forename: I
authors.initials: I
authors.lastname: Porubčinová
authors.forename: P
authors.initials: P
authors.lastname: Kristian
authors.forename: L
authors.initials: L
authors.lastname: Virág
authors.forename: E
authors.initials: E
authors.lastname: Štammová
authors.forename: V
authors.initials: V
authors.lastname: Vyhnánková
authors.forename: Z
authors.initials: Z
authors.lastname: Paraličová
mesh_terms: D002177:Candidiasis / Q000150:complications*; D004935:Esophageal Diseases / Q000150:complications*; D019698:Hepatitis C, Chronic / Q000150:complications*; D006801:Humans; D055744:Invasive Pulmonary Aspergillosis / Q000150:complications*; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications*; D008297:Male; D008875:Middle Aged; D009894:Opportunistic Infections / Q000150:complications*