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Klin Padiatr 2013; 225(06): 347-349
DOI: 10.1055/s-0033-1354390
Case Report
© Georg Thieme Verlag KG Stuttgart · New York

Always Expect the Unexpected: Lung Abscess due to Pseudomonas Aeruginosa Mimicking Pulmonary Aspergilloma in Acute B-cell Leukemia

Immer nicht nur an das Naheliegende denken: Lungenabszess durch Pseudomonas aeruginosa täuscht ein pulmonales Aspergillom bei akuter B-Zell-Leukämie vor
J.-K. Dieks
1   Pediatric Cardiology and Intensive Care Medicine, University Medical Centre, Georg-August University, Göttingen, Germany
,
A. O. von Bueren
2   Division of Pediatric Hematology and Oncology, Department of Child and Adolescent Health, University Medical Centre, Georg-August University, Göttingen, Germany
,
I.-M. Schaefer
3   Institute of Pathology, University Medical Centre, Georg-August University, Göttingen, Germany
,
J. Menke
4   Department of Diagnostic and Interventional Radiology, University Medical Centre, Georg-August University, Göttingen, Germany
,
C. Lex
1   Pediatric Cardiology and Intensive Care Medicine, University Medical Centre, Georg-August University, Göttingen, Germany
,
U. Krause
1   Pediatric Cardiology and Intensive Care Medicine, University Medical Centre, Georg-August University, Göttingen, Germany
,
D. Zenker
5   Department of Thoracic and Cardiovascular Surgery, University Medical Centre, Georg-August University, Göttingen, Germany
,
I. Kühnle
2   Division of Pediatric Hematology and Oncology, Department of Child and Adolescent Health, University Medical Centre, Georg-August University, Göttingen, Germany
,
C. M. Kramm
2   Division of Pediatric Hematology and Oncology, Department of Child and Adolescent Health, University Medical Centre, Georg-August University, Göttingen, Germany
› Author Affiliations
Further Information

Publication History

Publication Date:
28 October 2013 (online)

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Abstract

We report on a case of Pseudomonas aeruginosa sepsis and consecutive lung abscess in a 13-year-old patient with acute B-cell leukemia. At first, radiographic findings strongly suggested presence of pulmonary aspergilloma and only microbiological testing of the surgically enucleated mass revealed the correct underlying pathogen and confirmed final diagnosis.

Zusammenfassung

Wir berichten über einen 13-jährigen Patienten mit akuter B-Zell-Leukämie, bei dem nach schwe­rer Sepsis ein Lungenabszess durch Pseudomonas aeruginosa entstand. Zwar fanden sich zunächst die typischen radiologischen Hinweise für das Vorliegen eines pulmonalen Aspergilloms, jedoch bestätigte die Erregerkultur des enuklierten Abszes­ses das tatsächlich zugrunde liegende Pathogen und sicherte so die Diagnose.

Key words

aspergilloma - lung abscess - atelectasis - Pseudomonas aeruginosa - acute leukemia - sepsis

Schlüsselwörter

Aspergillom - Lungenabszess - Atelektase - Pseudomonas aeruginosa - akute Leukämie - Sepsis
 

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