Tracheobronchial mucormycosis successfully treated with venous-venous extracorporeal membrane oxygenation combined with prolonged amphotericin B instillation by Bronchoscopy: a case report

Bibliographic Details
Title: Tracheobronchial mucormycosis successfully treated with venous-venous extracorporeal membrane oxygenation combined with prolonged amphotericin B instillation by Bronchoscopy: a case report
Authors: Ying Xu, Pei Liang, Zhifeng Zhang, Yingying Hao, Zilan Yan, Danjiang Dong, Qin Gu
Source: BMC Infectious Diseases, Vol 24, Iss 1, Pp 1-7 (2024)
Publisher Information: BMC, 2024.
Publication Year: 2024
Collection: LCC:Infectious and parasitic diseases
Subject Terms: Mucormycosis, Tracheobronchial mucormycosis, Amphotericin B, Liposomal amphotericin B, Isavuconazole, Posaconazole, Infectious and parasitic diseases, RC109-216
More Details: Abstract Background Tracheobronchial mucormycosis is a fatal opportunistic infection that mainly causes airway stenosis and is difficult to manage clinically. Case presentation We report a case of severe tracheal stenosis caused by tracheobronchial mucormycosis in a 37-year-old female with a history of hyperthyroidism. She developed agranulopenia after oral methimazole administration and subsequently experienced asthma with dyspnea. Bronchoscopy, sputum culture, colony mass spectrometry, and microscopic cotton orchid staining confirmed tracheobronchial mucormycosis. The patient received venous-venous extracorporeal membrane oxygenation (VV-ECMO) and prolonged intratracheal instillation of amphotericin B (AmBD), combined with amphotericin B liposome (L-AmB) and isavuconazole intravenous infusion, ultimately resulting in successful treatment. Conclusion VV-ECMO combined with prolonged intratracheal instillation of AmBD is an effective method for the treatment of tracheobronchial mucormycosis.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1471-2334
Relation: https://doaj.org/toc/1471-2334
DOI: 10.1186/s12879-024-10215-4
Access URL: https://doaj.org/article/69bc7150809549fcac2cd64d54f42123
Accession Number: edsdoj.69bc7150809549fcac2cd64d54f42123
Database: Directory of Open Access Journals
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More Details
ISSN:14712334
DOI:10.1186/s12879-024-10215-4
Published in:BMC Infectious Diseases
Language:English