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    Go to the top of the page   ID: 20040501114127 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    | The Authors | Discussion | Write a Comment to this Case |
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    Invasive Aspergillosis
    Ina Sorge, Wolfgang Hirsch, W Köpernik. Invasive Aspergillosis. PedRad [serial online] vol 4, no. 5.
    URL: www.PedRad.info/?search=20040501114127


     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] There are MRI-images available for this case. [ MRI ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    Ina Sorge, Wolfgang Hirsch, W. Köpernik (Leipzig / Halle)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    14 Years  

     
     Pediatric Radiology CasesGender:

    Female  

     
     Pediatric Radiology CasesRegion-Organ:

    Thorax-Lung  

     
     Pediatric Radiology CasesMost likely etiology:

    inflammatory or infectious  

     
     Pediatric Radiology CasesHistory:

    14 year-old girl with ALL, after the 2nd round of chemotherapy sudden onset of fever, fatigue, cough.  

     
     Pediatric Radiology CasesPathomorphology 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.  

     
     Pediatric Radiology CasesRadiological findings:


    X-Ray 1 <- 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.



    MRI 1 <- 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.



    MRI 2 <- view MRI 2

    MRI 2: T1-weighted Gradient-echo sequence coronal without contrast media (VIBE-Sequence).



    MRI 3 <- view MRI 3

    MRI 3: Synopsis of the x-ray findings and the MRI findings. (various weights)

     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Laboratory diagnostics  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    invasive aspergillosis, pneumonia, atelectasis  

     
     Pediatric Radiology CasesCourse / 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).  

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    1. Medline: 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: 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.
     

     
     Pediatric Radiology CasesKeywords:

    Aspergillosis, immunosuppresion, invasive Aspergillosis, ALL, Acute Lymphatic Leucemia, chemotherapy, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    Ina Sorge, Wolfgang Hirsch, W Köpernik. Invasive Aspergillosis. PedRad [serial online] vol 4, no. 5.
    URL: www.PedRad.info/?search=20040501114127  

     
     Pediatric Radiology Cases 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
     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] There are MRI-images available for this case. [ MRI ] View all modalities [ 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:
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    Invasive Aspergillosis
    Other cases by these authors:

    Search Ina Sorge in Medline Ina Sorge (8)   
    Search Wolfgang Hirsch in Medline Wolfgang Hirsch (17)   
    Search W. Köpernik in Medline W. Köpernik (2)   

    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


     

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    Invasive Aspergillosis
    Ina Sorge, Wolfgang Hirsch, W Köpernik. Invasive Aspergillosis. PedRad [serial online] vol 4, no. 5.
    URL: www.PedRad.info/?search=20040501114127


     




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