A pulmonary aspergillosis case with fatal course in a patient with SIRS clinic

Abstract

• A 77-year-old male patient with a history of tuberculosis applied to emergency service with complaints of confusion, shortness of breath, tachycardia, hypothermia and hypotension. A bronchoalveolar lavage culture was collected because a fungus ball was seen on repeat chest X-ray and thoracic CT of the patient. Aspergillus fumigatus grew and voriconazole treatment was started, but the patient was lost from multiple organ failure (MOF). In diagnosis of patients with SIRS clinic, causative factor may be aspergillus located in an old tuberculosis cavity, and this may have a fatal course in an old patient having previous pulmonary and systemic diseases.
• KEYWORDS: Pulmonary Aspergillosis, Systemic Inflammatory Response Syndrome, Multiple Organ Failure, Morbidity, Mortality.