On October 28, 65 “Doctor Manu” Dr. Manoon Leechawengwong, MD. Physician specializing in respiratory diseases Wichaiyut Hospital Post a message via Facebook, Mor Manoon Leechawengwong FC warnslung infectionfrom breathingfungal sporesthat thrives incorn kernels that
A 66-year-old male patient coughing, yellow-green sputum, low-grade fever, fatigue, shortness of breath for 10 days, history of chronic obstructive bronchitis, used to smoke 2 packs/day, stopped smoking for 4 years, ischemic heart disease. Had 3 coronary artery bypass surgery 4 years ago and took steroid medication for 1 year because of tiredness and difficulty breathing. The patient has a career in maize trading. and selling chemical fertilizers (see picture)
Physical examination, no fever, temperature 37°C, auscultation of lungs with whistling, X-ray of the lungs, small white patches in both lungs (see picture) Computer scan of lungs, multiple diffuse patches in both lungs (see picture) Perform endoscopic procedure in Bronchoscopy: Very thick yellow sputum is found in both trachea, which can be sucked out a lot. send water to wash the lungs Dye found no tuberculosis. Dye found late fungus The fungi were cultured aspergillus fumigatus and Rhizopus spp. (see figure). The bronchial Aspergillus galactomannan antigen was positive.
summarize: Pneumonia is caused by a fungal infection. gave a new fungicide Isavuconazole Which is very expensive, can cover both types of fungi. After taking the drug, the patient gets better slowly, less coughing, less tired.
Patients with low immunity from foodsteroid medicationcontinuous for a year The patient’s house is next to the maize warehouse, the patient breathes.Fungal spores that grow in corn kernelsinto the lungs, the new fungicide must be continued for several months. until the chest X-ray returned to normal.
Source: Doctor Manoon Leechawengwong FC