Disease: pneumonia

Case Report: Liquid-based cytology diagnosis of pulmonary mucormycosis

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A 41-year-old man with diabetes developed a serious lung infection caused by mucormycosis, a rare and dangerous fungus. Doctors diagnosed the infection using liquid-based cytology, a technique that examines fluid from the lungs under a microscope, which proved more effective than traditional methods. Treatment with antifungal medications helped stabilize the patient’s condition, and he remained healthy during an eight-month follow-up. This case highlights how advanced diagnostic techniques can help doctors quickly identify and treat severe fungal infections.

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Pneumocystis jirovecii is a potential pivotal ecological driver contributing to shifts in microbial equilibrium during the early-life lower airway microbiome assembly

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Researchers studied how bacteria and fungi colonize infant lungs during the first year of life by examining lung tissue from autopsied infants. They found that the lung microbiome undergoes major changes between 2-4 months of age, and that a common fungal infection called Pneumocystis plays a key role in reshaping this microbial community. These early-life changes could have lasting impacts on children’s respiratory health later in life.

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Infection caused by a cryptic fungal species, Blastomyces gilchristii, in a tiger

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A tiger at a veterinary hospital developed a serious fungal infection that affected its brain and lungs. Using advanced DNA sequencing technology, researchers identified the infection was caused by a previously unrecognized fungal species called Blastomyces gilchristii. This discovery was important because it showed that this dangerous fungus exists in areas where scientists previously thought it wasn’t found, and it highlights the importance of using modern genetic testing to identify unusual infections.

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Favourable outcome of Fusarium prosthetic valve endocarditis in a patient with an Ebstein anomaly

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A 26-year-old woman with a congenital heart condition (Ebstein anomaly) received a replacement heart valve. Six months later, a rare fungal infection caused by Fusarium developed on the new valve, leading to lung complications. Through a combination of surgery to remove the infected valve and antifungal medications, particularly voriconazole, the patient recovered successfully. This case demonstrates that even life-threatening fungal heart infections can be treated with proper surgical intervention and targeted medication.

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Invasive fungal infections caused by rare yeast-like fungi in adult patients: results of a prospective study

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This study examined rare fungal infections in 30 critically ill adult patients over 18 years, finding that infections caused by uncommon yeasts like Trichosporon and Rhodotorula affected mainly long-term ICU patients with central lines. Despite treatment with antifungal medications, about 37% of patients died, highlighting the serious nature of these infections. The research emphasizes the importance of quickly identifying the specific fungus causing infection and using appropriate medications, along with removing infected catheters, to improve patient survival.

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Fungal sepsis in a 7-month-old female: diagnosis through peripheral blood smear

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A 7-month-old girl with persistent fever that did not respond to antibiotics was found to have a yeast infection in her blood through examination of a blood sample under a microscope. This discovery was unusual because such infections are typically difficult to spot without special culture tests. After treatment with the antifungal medication fluconazole, the child recovered completely. This case shows how simple microscopy can help diagnose serious fungal infections in areas where advanced laboratory testing is not available.

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Infection caused by a cryptic fungal species, Blastomyces gilchristii, in a tiger

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A tiger in Tennessee became ill with a serious fungal infection caused by a lesser-known fungus called Blastomyces gilchristii. While blastomycosis is typically caused by a different fungus species, this case represents the first detection of this particular cryptic fungal species in the southeastern United States. Scientists used advanced genetic sequencing to identify the fungus when standard laboratory methods failed. This discovery suggests that this dangerous fungus is spreading to areas where it was not previously thought to exist.

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