ptQEL (26): acute IPA, following AML

Case number: 

26

pt_initials: 

-

Anonymised initials: 

ptQEL

Diagnosis: 

Acute IPA

Demographics: 

75/M

Underlying/comorbid conditions: 

Acute myelogenic leukaemia (AML)

Summary: 

This 75 year old white male with a history of newly-diagnosed acute myelogenic leukaemia (AML) developed probable pulmonary aspergillosis. He was diagnosed based on chest CT (consolidation and nodules) and consecutive positive ELISAs. He was refractory to Abelcet (with progression of disease) and intolerant of Amphotericin B (increase of creatinine >2.5). He was treated with caspofungin for 6 days, but he finally died with deterioration of his lung disease and acute neurological symptoms, due possibly to dissemination of fungal infection. No autopsy was performed to define the diagnosis and extent of the disease.

Species: 

  • Unknown

Tag: 

Clinic (country): 

National Aspergillosis Centre (Manchester, UK)

Initials (for sorting): 

1QEL

Teaser image: