Invazívna pl'úcna aspergilóza a kandidová ezofagitída u pacienta s dekompenzáciou cirhózy pečene na podklade chronickej hepatitídy C a alkoholu
[Invasive pulmonary aspergillosis and esophageal candidiasis in a patient with decompensated liver cirrhosis due to chronic hepatitis C and alcohol]
Language Slovak Country Czech Republic Media print
Document type Case Reports, English Abstract, Journal Article
PubMed
22484974
- MeSH
- Liver Cirrhosis, Alcoholic complications MeSH
- Hepatitis C, Chronic complications MeSH
- Invasive Pulmonary Aspergillosis complications MeSH
- Candidiasis complications MeSH
- Middle Aged MeSH
- Humans MeSH
- Esophageal Diseases complications MeSH
- Opportunistic Infections complications MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Publication type
- English Abstract MeSH
- Journal Article MeSH
- Case Reports MeSH
We present a rare case of combined fungal infection in a critically ill 47 year-old patient with chronic hepatitis C at the stage of liver cirrhosis. The patient was admitted for signs of decompensated cirrhosis caused by hepatitis C and increased alcohol consumption. After 2 week hospital stay, his condition was complicated by a pulmonary infiltrate and rapid deterioration followed. Despite intensive care, the patient died. Autopsy findings showed invasive pulmonary aspergillosis. The aim of this case report is to point to a broad differential diagnosis of jaundice and pulmonary infiltrates, thus stressing the value of interdisciplinary cooperation and the need to consider the possibility of invasive fungal infections when caring for liver cirrhosis patients. In addition, several risk factors contributing to the development of fungal diseases in these patients are discussed in the article.