title: Invasive pulmonary mucormycosis with concomitant lung cancer presented with massive hemoptysis by huge pseudoaneurysm of pulmonary artery.
abstract: Pulmonary mucormycosis is a rare opportunistic invasive fungal infection involving the pulmonary vasculature in immunocompromised patients. Pseudoaneurysm of pulmonary artery in mucormycosis is a rare fatal complication after invasion and rupture of a pulmonary artery. We report a patient with diabetes mellitus and incidental lung cancer who developed massive hemoptysis because of a huge pseudoaneurysm of the left pulmonary artery by mucormycosis. Although the patient had been managed by amphotericin B followed by left pneumonectomy for persistent hemoptysis, he died from septic shock and multiorgan failure after surgery. Histologic analysis of a surgical specimen revealed concomitant squamous cell lung cancer.
authors.affiliation: University of Soonchunhyang College of Medicine, University Hospital for Pulmonary Diseases, Cheonan, Republic of Korea.
authors.forename: Young Il
authors.initials: YI
authors.lastname: Kim
authors.affiliation: University of Soonchunhyang College of Medicine, University Hospital for Pulmonary Diseases, Cheonan, Republic of Korea.
authors.forename: Hyo Cheol
authors.initials: HC
authors.lastname: Kang
authors.affiliation: University of Soonchunhyang College of Medicine, University Hospital for Pulmonary Diseases, Cheonan, Republic of Korea.
authors.forename: Ho Sung
authors.initials: HS
authors.lastname: Lee
authors.affiliation: University of Soonchunhyang College of Medicine, University Hospital for Pulmonary Diseases, Cheonan, Republic of Korea.
authors.forename: Jae Sung
authors.initials: JS
authors.lastname: Choi
authors.affiliation: University of Soonchunhyang College of Medicine, University Hospital for Pulmonary Diseases, Cheonan, Republic of Korea.
authors.forename: Ki Hyun
authors.initials: KH
authors.lastname: Seo
authors.affiliation: University of Soonchunhyang College of Medicine, University Hospital for Pulmonary Diseases, Cheonan, Republic of Korea.
authors.forename: Yong Hoon
authors.initials: YH
authors.lastname: Kim
authors.affiliation: University of Soonchunhyang College of Medicine, University Hospital for Pulmonary Diseases, Cheonan, Republic of Korea. Electronic address: juokna@schmc.ac.kr.
authors.forename: Juock
authors.initials: J
authors.lastname: Na
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000150:complications* / Q000175:diagnosis; D000792:Angiography; D002283:Carcinoma, Bronchogenic / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D006469:Hemoptysis / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008172:Lung Diseases, Fungal / Q000150:complications* / Q000175:diagnosis; D008175:Lung Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008297:Male; D009091:Mucormycosis / Q000150:complications* / Q000175:diagnosis; D011013:Pneumonectomy; D011651:Pulmonary Artery