Invasive Aspergillosis :: Peer Reviewed Pediatric Radiology Cases: :: The peer reviewed Pediatric Radiology teaching file server / case collection

ID: 20040501114127 ( 27 times read )	(PubMed Reader)
Add this case to your RSS feeder:

\| The Authors \| Discussion \| Write a Comment to this Case \| \| Evaluate this Case \| Recommend this Case to a Colleague \| Survey Results \| \| Citation \| Similar Cases \| Similar Cases in the Internet \| Images to this Case \| This case was evaluated as very interesting (Grade 7.4).
	Invasive Aspergillosis Ina Sorge, Wolfgang Hirsch, W Köpernik. Invasive Aspergillosis. PedRad [serial online] vol 4, no. 5. URL: www.PedRad.info/?search=20040501114127
	Images to this case:	[ X-Ray ] [ MRI ] [ All ]
	Author/s:	Ina Sorge, Wolfgang Hirsch, W. Köpernik (Leipzig / Halle)
	Email Address:	Viewable for logged on visitors (Log on)
	Age:	14 Years
	Gender:	Female
	Region-Organ:	Thorax-Lung
	Most likely etiology:	inflammatory or infectious
	History:	14 year-old girl with ALL, after the 2nd round of chemotherapy sudden onset of fever, fatigue, cough.
	Pathomorphology or Pathophysiology of this disease :	Aspergillus is ubiquitous. Included with "Aspergillosis," are the following illnesses: -allergic pulmonary illness due to aspergillus -mucomembraneous, broncial Aspergillosis -aspergillus pneumonia -invasive aspergillosis The last form of aspergillosis is seen only in immunosupressed patients.
	Radiological findings:	<- view X-Ray 1 X-Ray 1: X-ray p.a.: Representation of many alveolar, confluent opaque figures in both upper, both middle and left lower lobes. <- view MRI 1 MRI 1: T2-weighted TSE-sequence coronal (breath triggered). The alveolar infiltration is proven by high-resolution, hyperintense infiltrations of the alveolar space. <- view MRI 2 MRI 2: T1-weighted Gradient-echo sequence coronal without contrast media (VIBE-Sequence). <- view MRI 3 MRI 3: Synopsis of the x-ray findings and the MRI findings. (various weights)
	Diagnosis confirmation:	Laboratory diagnostics
	Which DD would be also possible with the radiological findings:	invasive aspergillosis, pneumonia, atelectasis
	Course / Prognosis / Frequency / Other :	Prognosis of invasive aspergillosis in an advanced case is often bad, even with treatment with amphoterecin-B (because of the corresponding immunosupression).
	Comments of the author about the case:	N/A
	First description / History:	N/A
	Literature:	1. Medline: Vaideeswar P, Prasad S, Deshpande JR, Pandit SP. Invasive pulmonary aspergillosis: A study of 39 cases at autopsy. J Postgrad Med. 2004 Jan-Mar;50(1):21-6. 2. Medline: Franquet T, Muller NL, Oikonomou A, Flint JD. Aspergillus infection of the airways: computed tomography and pathologic findings. J Comput Assist Tomogr. 2004 Jan-Feb;28(1):10-6.
	Keywords:	Aspergillosis, immunosuppresion, invasive Aspergillosis, ALL, Acute Lymphatic Leucemia, chemotherapy, child, childhood, pediatric radiology
	Cite this article:	Ina Sorge, Wolfgang Hirsch, W Köpernik. Invasive Aspergillosis. PedRad [serial online] vol 4, no. 5. URL: www.PedRad.info/?search=20040501114127
	Read similar articles:	with corresponding keywords in the same field: Thorax-Lung or in the region: Thorax or in the tissue/organ: Lung or with the etiology: inflammatory or infectious
	Images to this case:	[ X-Ray ] [ MRI ] [ All ]
	Invasive Aspergillosis Ina Sorge, Wolfgang Hirsch, W Köpernik. Invasive Aspergillosis. PedRad [serial online] vol 4, no. 5. URL: www.PedRad.info/?search=20040501114127
Search similar cases in: Peer-reviewed Radiology Search
Invasive Aspergillosis Other cases by these authors: Ina Sorge (8) 1: Pheochromocytoma 2: Cleidocranial dysostosis 3: Bilirubin Stone in Hereditary Spherocytosis, Papillary Stenosis after Endoscopic Stone Removal (ERCP) 4: Brain Abscess with Frontal Sinus Defect 5: Neurofibromatosis Type I 6: Kohler's Disease II, Bilateral Freiberg-Kohler Disease 7: Vertebral Osteoid Osteoma 8: Invasive Aspergillosis Wolfgang Hirsch (17) 1: Lymphangioleiomyomatosis 2: Angiomyolipomas of the kidney in Bourneville-Pringle's disease 3: Tuberous sclerosis of the brain / Bourneville-Pringle's disease 4: Osteoid osteoma of the tibia 5: Cystic fibrosis / Lung diagnostic with MRI 6: Congenital frontal sinus defect complicated by multiple brain abscesses 7: Tethered spinal cord with filum terminale lipoma 8: Multicystic medullary degeneration after meningitis 9: Cystic adenomatoid malformation of the lung (CAM / CCAM) 10: Microadenomas of the pituitary gland 11: Fracture of the ankle joint / Aitken I distal tibia metaphysis and malleolus medialis fracture 12: Small intestine invagination / small bowel intussusception 13: Clinicly questionable radial head luxation, exclusion with MRI in an infant 14: Christmastime 15: Hemophilic arthropathy (MRI findings) 16: Invasive Aspergillosis 17: Connatal Cytomegaly W. Köpernik (2) 1: Epilepsy due to hippocampal sclerosis 2: Invasive Aspergillosis Invasive Aspergillosis
	Invasive Aspergillosis Ina Sorge, Wolfgang Hirsch, W Köpernik. Invasive Aspergillosis. PedRad [serial online] vol 4, no. 5. URL: www.PedRad.info/?search=20040501114127
Which diagnosis have other collegues guessed? Cystic adenomatoid malformation of the lung (Type I) Votes: 0 (0 %) Invasive aspergillosis Votes: 11 (61 %) Pneumonia Votes: 7 (38 %) Atelectasis Votes: 0 (0 %) Total answers: 18
	Invasive Aspergillosis Ina Sorge, Wolfgang Hirsch, W Köpernik. Invasive Aspergillosis. PedRad [serial online] vol 4, no. 5. URL: www.PedRad.info/?search=20040501114127
Medical Dictionary Search in medical dictionary for Or type in a keyword ( Provided by The On-Line Medical Dictionary ) How interesting was this case for you? (10 = most interesting \|\| 1 = less interesting) This case was evaluated as very interesting (Grade 7.4).
	Invasive Aspergillosis Ina Sorge, Wolfgang Hirsch, W Köpernik. Invasive Aspergillosis. PedRad [serial online] vol 4, no. 5. URL: www.PedRad.info/?search=20040501114127