“Doctor Manu” doctor Manoon Leechawengwong or a respiratory specialist Wichaiyut Hospital Facebook post Mor Manoon Leechawengwong FC lift the case lung infection from breathing the spores of “Fungus” that grows in seeds sweetcorn The patient was a 66-year-old male, coughing, yellow-green sputum, low-grade fever, tiredness, shortness of breath for 10 days. 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 trading. sweetcorn Raising animals and selling chemical fertilizers
Physical examination, no fever, temperature of 37 degrees Celsius, auscultation of lungs with whistling sound. lung x-ray There is a small white patch in the lungs 2 sides. Computer scan of the lungs. There are many spots of melasma spreading in the lungs on both sides. Laparoscopic procedure is performed into the trachea. (Bronchoscopy) found very thick yellow sputum in both trachea, sucked out a lot, rinsed with water. lungs Dye found no tuberculosis. Dye found a fungal species. “Fungus” up mold Aspergillus fumigatus and Rhizopus spp. Lung flushing, bronchial Aspergillus galactomannan antigen, positive.
summarize : pneumonia Caused by fungal infection, have given antibiotics “Fungus” New Isavuconazole which is very expensive can cover kill “Fungus” Can get both types. After taking the drug, the patient gets better slowly, less coughing, less tired.
Patients have a low immune system from taking steroids for a year. The patient’s house is next to the warehouse. sweetcorn Raising animals, the patient breathes its spores. “Fungus” that thrives in corn kernels go into lungs must give Killerfungi The new one continued for several months. until the chest X-ray returned to normal.
Information-image: Facebook. Mor Manoon Leechawengwong FC
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