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

J.-K. Dieks; A. O. von Bueren; I.-M. Schaefer; J. Menke; C. Lex; U. Krause; D. Zenker; I. Kühnle; C. M. Kramm

doi:10.1055/s-0033-1354390

Klin Padiatr 2013; 225(06): 347-349
DOI: 10.1055/s-0033-1354390

Case Report

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

¹Pediatric Cardiology and Intensive Care Medicine, University Medical Centre, Georg-August University, Göttingen, Germany

,

A. O. von Bueren

²Division of Pediatric Hematology and Oncology, Department of Child and Adolescent Health, University Medical Centre, Georg-August University, Göttingen, Germany

,

I.-M. Schaefer

³Institute of Pathology, University Medical Centre, Georg-August University, Göttingen, Germany

,

J. Menke

⁴Department of Diagnostic and Interventional Radiology, University Medical Centre, Georg-August University, Göttingen, Germany

,

C. Lex

¹Pediatric Cardiology and Intensive Care Medicine, University Medical Centre, Georg-August University, Göttingen, Germany

,

U. Krause

¹Pediatric Cardiology and Intensive Care Medicine, University Medical Centre, Georg-August University, Göttingen, Germany

,

D. Zenker

⁵Department of Thoracic and Cardiovascular Surgery, University Medical Centre, Georg-August University, Göttingen, Germany

,

I. Kühnle

²Division of Pediatric Hematology and Oncology, Department of Child and Adolescent Health, University Medical Centre, Georg-August University, Göttingen, Germany

,

C. M. Kramm

²Division of Pediatric Hematology and Oncology, Department of Child and Adolescent Health, University Medical Centre, Georg-August University, Göttingen, Germany

› Author Affiliations

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

Full Text

References

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