Severe acute respiratory distress syndrome in a liver transplant patient

Publication date: September 2018

Source: Medical Mycology Case Reports, Volume 21

Author(s): Nicholas M. Moore., Laurie A. Proia

Abstract

This case report presents a 46-year old man with a failed liver transplant who presented with malaise and dyspnea. Imaging studies revealed diffuse reticulonodular infiltrates and innumerable miliary nodules and a left upper lobe consolidative mass. Examination of bronchoalveolar lavage fluid demonstrated yeast cells with broad-based budding. He was diagnosed with pulmonary blastomycosis and started therapy with liposomal amphotericin. In spite of therapy, he clinically worsened, developing acute respiratory distress syndrome (ARDS) and eventually expired.

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