Fungal pneumonia manifesting as cavitary lesions in a critically ill elderly patient

  • Wei Yang Department of Geriatric Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China
  • Yixin Ma Department of Geriatric Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China
  • Jieyu Wang Department of Geriatric Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China
  • Yun Li Department of Geriatric Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China
  • Yaxin Zhang Department of Geriatric Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China
  • Tong Zhang Department of Geriatric Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China
Keywords: elderly, fungal, pneumonia, cavity

Abstract

Elderly patients with fungal pneumonia experience higher mortality and are more likely to be misdiagnosed. The diagnosis and treatment of fungal pneumonia in elderly patients is challenging. We herein present a clinical case of pulmonary fungal infection (PFI) manifesting as cavitary lesions in an 85-year-old male with multiple organ failure. Broad-spectrum antibiotics showed unsatisfactory result in this case. Computed tomography (CT) of the chest showed multiple pulmonary cavities with gas-fluid levels in the right upper and middle lobe, and patchy blurred shadows in the lower lobe. The diagnosis of fungal pneumonia was made after ruling out other causes of fever. The patient showed good response to anti-fungal treatment. Physicians must consider the possibility of fungal pneumonia in elderly patients who do not respond to antibiotic treatment after exclusion of immune response, tumor, tuberculosis, and other systemic infections.

Published
2019-12-31
How to Cite
1.
Yang W, Ma Y, Wang J, Li Y, Zhang Y, Zhang T (2019) Fungal pneumonia manifesting as cavitary lesions in a critically ill elderly patient. J Infect Dev Ctries 13:1170-1173. doi: 10.3855/jidc.11265
Section
Case Reports