Severe influenza A virus pneumonia complicated with infection: Case Report.

Yanqing Zhang, Haixia Li, Ling Chen, Fei Feng, Liping Liu, Qinghong Guo
Author Information
  1. Yanqing Zhang: Key Laboratory of Gastrointestinal Diseases of Gansu Province, The First Clinical Medical College, Lanzhou University, Lanzhou, Gansu, China.
  2. Haixia Li: Emergency Intensive Care Unit, The First Clinical Medical College, Lanzhou University, Lanzhou, Gansu, China.
  3. Ling Chen: Emergency Intensive Care Unit, The First Clinical Medical College, Lanzhou University, Lanzhou, Gansu, China.
  4. Fei Feng: Emergency Intensive Care Unit, The First Clinical Medical College, Lanzhou University, Lanzhou, Gansu, China.
  5. Liping Liu: Emergency Intensive Care Unit, The First Clinical Medical College, Lanzhou University, Lanzhou, Gansu, China.
  6. Qinghong Guo: Key Laboratory of Gastrointestinal Diseases of Gansu Province, The First Clinical Medical College, Lanzhou University, Lanzhou, Gansu, China.

Abstract

Human infection with () is exceptionally rare. A 23-year-old female patient contracted both bacterial and infections during influenza A virus infection. Multiple etiological tests were performed repeatedly during hospitalization due to fluctuations in condition. On the 17th day after hospital admission, mold hyphae were discovered in the pathogen culture of the patient's bronchoalveolar lavage fluid during one of these examinations. The patient was suspected to have a filamentous fungal infection. Consequently, we further obtained sputum samples for fungal culture, which confirmed the diagnosis of infection. The patient, in this case, was in a critical condition, experiencing complications of lung abscess, pneumothorax, sepsis, and multiorgan failure. Despite prompt initiation of antifungal therapy including amphotericin B cholesteryl sulfate complex and isavuconazole upon detection of the fungal infection and concurrent administration of active organ function support treatment, the patient's condition rapidly deteriorated due to compromised immune function. Ultimately, on the 27th day of treatment, the patient succumbed to septic shock and multiple organ dysfunction syndrome. This is the first case of infection in our hospital. In this paper, we aim to raise awareness of infection and to emphasize that the possibility of this fungal infection should be considered in patients with severe pneumonia caused by influenza A virus and that empirical antifungal therapy should be given promptly when the patient has invasive lung damage.

Keywords

References

  1. Burns. 1993 Feb;19(1):77-9 [PMID: 8435123]
  2. South Med J. 1988 Jul;81(7):943-4 [PMID: 3393961]
  3. Clin Microbiol Infect. 2014 Apr;20 Suppl 3:47-75 [PMID: 24483780]
  4. Thorax. 1981 May;36(5):338-44 [PMID: 7314001]
  5. Mycopathologia. 1994 Aug;127(2):65-7 [PMID: 7984213]
  6. Br J Dermatol. 2008 Jun;158(6):1374-5 [PMID: 18363744]
  7. J Nephrol. 2006 Sep-Oct;19(5):668-72 [PMID: 17136699]
  8. J Leukoc Biol. 2020 Jul;108(1):151-168 [PMID: 32386457]
  9. Infect Dis Clin North Am. 2006 Sep;20(3):609-20 [PMID: 16984871]
  10. Clin Infect Dis. 1994 Oct;19(4):735-40 [PMID: 7803640]
  11. Clin Infect Dis. 1993 Jan;16(1):30-2 [PMID: 8448316]
  12. J Clin Med. 2022 Sep 14;11(18): [PMID: 36143037]
  13. Rev Iberoam Micol. 2013 Apr-Jun;30(2):116-8 [PMID: 23153471]
  14. Plast Reconstr Surg. 1996 Jun;97(7):1391-9 [PMID: 8643722]
  15. JAMA. 1986 Dec 19;256(23):3249-53 [PMID: 3783870]
  16. J Am Acad Dermatol. 1990 Sep;23(3 Pt 2):577-86 [PMID: 2170477]
  17. Indian J Med Microbiol. 2009 Jan-Mar;27(1):66-9 [PMID: 19172066]
  18. J Clin Neurosci. 2013 Jan;20(1):173-5 [PMID: 22989791]
  19. Rev Infect Dis. 1990 Jul-Aug;12(4):621-7 [PMID: 2385769]
  20. Infect Immun. 2011 Nov;79(11):4459-71 [PMID: 21875960]
  21. Front Cell Infect Microbiol. 2022 Jun 13;12:895329 [PMID: 35770068]
  22. Clin Lab Med. 2021 Jun;41(2):267-283 [PMID: 34020763]
  23. Clin Microbiol Rev. 2010 Oct;23(4):884-928 [PMID: 20930077]
  24. J Eur Acad Dermatol Venereol. 2003 Jul;17(4):440-2 [PMID: 12834456]

MeSH Term

Female
Humans
Young Adult
Adult
Curvularia
Antifungal Agents
Influenza A virus
Mycoses
Pneumonia

Chemicals

Antifungal Agents

Word Cloud

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