open access

Vol 84, No 3 (2016)
CASE REPORTS
Submitted: 2016-05-28
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Pulmonary mycotic pseudo-aneurysm with a prior history of ventricular septal defect. Case report with review of literature

Vishal Walasangikar, Amit Kumar Dey, Rajaram Sharma, Vivek Murumkar, Rohit Gadewar, Priya Hira, Kartik Mittal
DOI: 10.5603/PiAP.2016.0021
·
Pneumonol Alergol Pol 2016;84(3):178-180.

open access

Vol 84, No 3 (2016)
CASE REPORTS
Submitted: 2016-05-28

Abstract

In general aneurysms of the pulmonary arteries are less frequent than intracranial, aortic or other vascular locations. Infectious causes include bacteria such as Staphylococcus sp and Streptococcus sp, mycobacteria, Treponema pallidium (syphilis) and rarely fungi. We report a 7 year old female with two right-sided parahilar pseudo-aneurysm of fungal origin with a prior history of ventricular septal defect. Pulmonary mycotic pseudo-aneurysms are very rare and require a high suspicion to diagnose. If a patient is still symptomatic for fever and cough for a long time, and consolidation on x-ray is not improving on antibiotics, contrast-enhanced computed tomography is indicated. It can be suspected that the „friable mass attached to ventricular septal defect patch” was a source of fungeal emboli to pulmonary arteries thus giving weight to the infective endocarditis etiology. A prior history of ventricular septal defect repair could favour fungal endocarditis.

Abstract

In general aneurysms of the pulmonary arteries are less frequent than intracranial, aortic or other vascular locations. Infectious causes include bacteria such as Staphylococcus sp and Streptococcus sp, mycobacteria, Treponema pallidium (syphilis) and rarely fungi. We report a 7 year old female with two right-sided parahilar pseudo-aneurysm of fungal origin with a prior history of ventricular septal defect. Pulmonary mycotic pseudo-aneurysms are very rare and require a high suspicion to diagnose. If a patient is still symptomatic for fever and cough for a long time, and consolidation on x-ray is not improving on antibiotics, contrast-enhanced computed tomography is indicated. It can be suspected that the „friable mass attached to ventricular septal defect patch” was a source of fungeal emboli to pulmonary arteries thus giving weight to the infective endocarditis etiology. A prior history of ventricular septal defect repair could favour fungal endocarditis.

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Keywords

mycotic pseudo-aneurysm, aneurysm of pulmonary artery, ventricular septal defect, fungi emboli, Candida spp.

About this article
Title

Pulmonary mycotic pseudo-aneurysm with a prior history of ventricular septal defect. Case report with review of literature

Journal

Advances in Respiratory Medicine

Issue

Vol 84, No 3 (2016)

Pages

178-180

DOI

10.5603/PiAP.2016.0021

Bibliographic record

Pneumonol Alergol Pol 2016;84(3):178-180.

Keywords

mycotic pseudo-aneurysm
aneurysm of pulmonary artery
ventricular septal defect
fungi emboli
Candida spp.

Authors

Vishal Walasangikar
Amit Kumar Dey
Rajaram Sharma
Vivek Murumkar
Rohit Gadewar
Priya Hira
Kartik Mittal

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