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.
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, Section of Transplant Infectious Disease, Division of Infectious Disease, Department of Medicine, Westchester Medical Center/New York Medical College, 100 Woods Road, Valhalla, NY, 10595, USA.
George Kleinman, Department of Pathology, Westchester Medical Center/New York Medical College, 100 Woods Road, Valhalla, NY, 10595, USA.
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.
Journal Title
Medical Mycology Case Reports
Publication Date
9-1-2022
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
