Fatal Acute Respiratory Distress Syndrome Caused by Blastomycosis After Recent Orthotopic Liver Transplantation in a Non-Endemic Area

Authors

Hiroshi Sogawa, Division of Intra-abdominal Transplant, Department of Surgery, Westchester Medical Center/New York Medical College, 100 Woods Road, Valhalla, NY, 10595, USA.
Ryosuke Misawa, Division of Intra-abdominal Transplant, Department of Surgery, Westchester Medical Center/New York Medical College, 100 Woods Road, Valhalla, NY, 10595, USA.
Roxana Bodin, Section of Hepatology, Division of Gastroenterology, Department of Medicine, Westchester Medical Center/New York Medical College, 100 Woods Road, Valhalla, NY, 10595, USA.Follow
David C. Wolf, Section of Hepatology, Division of Gastroenterology, Department of Medicine, Westchester Medical Center/New York Medical College, 100 Woods Road, Valhalla, NY, 10595, USA.
Rajat Nog, New York Medical CollegeFollow
George Kleinman, Department of Pathology, Westchester Medical Center/New York Medical College, 100 Woods Road, Valhalla, NY, 10595, USA.Follow
Seigo Nishida, Division of Intra-abdominal Transplant, Department of Surgery, Westchester Medical Center/New York Medical College, 100 Woods Road, Valhalla, NY, 10595, USA.
Oleg Epelbaum, Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Westchester Medical Center/New York Medical College, 100 Woods Road, Valhalla, NY, 10595, USA.Follow

Author Type(s)

Faculty

DOI

10.1016/j.mmcr.2022.07.003

Journal Title

Medical Mycology Case Reports

First Page

37

Last Page

40

Document Type

Article

Publication Date

9-1-2022

Department

Surgery

Second Department

Medicine

Third Department

Pathology, Microbiology and Immunology

Keywords

Acute respiratory distress syndrome, Blastomycosis, Extracorporeal membrane oxygenation, Liver transplantation, Pneumonia

Disciplines

Medicine and Health Sciences

Abstract

In blastomycosis, immunosuppression such as that following solid organ transplantation appears to be a risk factor for the development of overwhelming lung infection fulfilling criteria for the acute respiratory distress syndrome. Our transplant center, located outside traditional endemic areas for spp, experienced a case of fatal acute respiratory distress syndrome secondary to blastomycosis pneumonia in a recipient of recent orthotopic liver transplantation. The patient expired despite support with veno-venous extracorporeal membrane oxygenation.

Recommended Citation

Sogawa, H., Misawa, R., Bodin, R., Wolf, D. C., Nog, R., Kleinman, G., Nishida, S., & Epelbaum, O. (2022). Fatal Acute Respiratory Distress Syndrome Caused by Blastomycosis After Recent Orthotopic Liver Transplantation in a Non-Endemic Area. Medical Mycology Case Reports, 37, 37-40. https://doi.org/10.1016/j.mmcr.2022.07.003