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Vol. 21. Issue 3.
Pages 134-136 (May - June 1985)
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Vol. 21. Issue 3.
Pages 134-136 (May - June 1985)
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Aspergilosis pulmonar invasiva Por aspergillus fumigatus en un paciente no inmunodeprimido
Invasive pulmonary aspergillosis caused by Aspergillus fumigatus in a non-immunosuppressed patient
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J. Duran Cantolla, F. Zurbano Goñi, R. Agüero Balbin, L. Borderias Clau, J. Teran Santos, C. Queipo Corona, J. Barrio Soto
Sección de Neumología. Servicio de Neumología y Cirugía Torácica. Hospital Marqués de Valdecilla. Santander
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A propósito de un caso clínico, se comenta la aspergilosis pulmonar invasiva y su escasa frecuencia en personas aparentemente sanas, así como los pasos que llevan al diagnóstico y los aspectos más importantes del tratamiento.

Como conclusión, insistimos en la necesidad de pensar en esta entidad, no sólo en pacientes inmunodeprimidos, sino también en aquellos que presentan fiebre e infiltrados pulmonares que no responden adecuadamente a los antibióticos. Particularmente, cuando se detectan aspergillus en los estudios microbiológicos, aunque aparentemente su respuesta inmune sea normal.

The aulhors present a case of invasive pulmonary aspergillosis, an infectious disease but rarely seen in apparently healthy individuals. A discussion of the diagnostic and therapeutic features is included and it is recommended that the entity should be suspected when patients with fever and pulmonary infiltrates —whether immuno-suppressed or not— show a poor response to antibiotic therapy and in particular when aspergillus organisms are found in cultures even thought the immune response is apparently normal.

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Copyright © 1985. Sociedad Española de Neumología y Cirugía Torácica
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