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Canadian Respiratory Journal
Volume 21, Issue 4, Pages 208-210
http://dx.doi.org/10.1155/2014/614148
Clinico-Pathologic Conferences

A 29-Year-Old Man with Hospital-Acquired Cavitary Pneumonia

Mansoor Mehmood,1 Ruba A Halloush,2 and Faisal A Khasawneh1

1Section of Infectious Diseases, Department of Internal Medicine, Texas Tech University Health Sciences Center, Amarillo, Texas, USA
2Amarillo Pathology Group, Amarillo, Texas, USA

Copyright © 2014 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Mucormycosis is an infection that can manifest in many forms and is an emerging complication in several health care procedures. Portals of entry can be attributed to surgical procedures and medical devices such as chest tubes; however, the skin and gastrointestinal tract are the most common sites of infection and outbreaks have been traced to adhesive bandages, wooden tongue depressors and ostomy bags. This article describes the presentation, work-up, diagnosis and treatment of an East Asian immigrant who was admitted with acute hypoxemic respiratory failure.

Cavitary lung processes pose a formidable diagnostic challenge. Causes vary widely and include cavitary pneumonia, vasculitis and malignancy. In some cases, patient history and basic work-up may yield a diagnosis, but in others, an extensive work-up, including tissue biopsy, may be necessary to establish the cause. The authors present a case of cavitary pneumonia that complicated an open lung biopsy. It developed in the hospital and was caused by mucormycosis, a potential emerging infection causing health care-associated infections.