Dr. Manoon Leechawengwong, MD. Physician specializing in respiratory diseases Wichaiyut Hospital post a parable Warning near the patient’s case that has been dismantledbookthe old one at home to throw away Finally foundIllness, pneumonia due tofungithat is in the old book enters the lungs
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Imminent danger when dismantlingbookThe old ones in the house were thrown away.
A 79-year-old male patient is preparing to move to his home in Bang Khae. BKK went to live in a condo. 2 people in the house to dismantle old books that have been collected for more than 20 years. The book paper turns brown to be discarded. and keep only some The patient sat in the study room for two hours while dismantling the book. without wearing a mask
A 3 month patient with chronic inflammatory demyelinating polyradiculoneuropathy (CIDP or CIDP) limb numbness and weakness is being treated with high-dose steroids and immunosuppressants. Y (cellcept) Physical examination, fever, temperature 38.1 °C, normal lung auscultation. Abnormal lung X-rays on both sides. Computer scan of the lungs. Small cavities were found in the lung with multiple white patches in both lungs.
endoscopy to look into the lungs Found a little white sputum. Send sputum sucked from the trachea for examination. Dye found late fungi, no tuberculosis, aspergillus fumigatus and another aspergillus spp, unknown species. Lung lavage to measure bronchial aspergillus galactomannan, positive, confirmed aspergillus fungal infection.
Conclusion: This patient is immunocompromised from steroids and immunosuppressants; aspergillus infection is caused by inhalation of aspergillus spores that grow in the moist pulp of old books flying off. It comes into the air as the book is torn down, into the lungs, causing aspergillosis. invasive pulmonary aspergillosis
Give fungicide treatment. Types of Voriconazole (voriconazole), the patient gradually improved. The person who helped move the books, no one got sick, even inhaling mold spores. because of good health have good immunity
advice : May the weak have a congenital disease low immunity Wear a hygienic mask when dismantling old books in the house. or the best way Avoid being in a room where books are being demolished. Because it may breathe fungal spores into the lungs. can cause fungal infections in the lungs
CR Facebook, Dr. Manoon Leechawengwong