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

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