On October 28, 65 “Doctor Manu” Dr. Manoon Leechawengwong, MD. Doctor specializing in respiratory diseases Wichaiyut Hospital Post a message via Facebook, CPD Mor Manoon Leechawengwong warnslung infectionfrom breathingfungal sporeswhich thrives incorn kernels that
A 66-year-old male patient with cough, yellow-green sputum, low-grade fever, fatigue, shortness of breath for 10 days, history of chronic obstructive bronchitis, used to smoke 2 packs a day, quit smoking for 4 years, ischemic disease of the heart Had 3 coronary artery bypass operations 4 years ago and took steroid medication for a year due to fatigue and difficulty breathing. The patient has a career in maize trading. and selling chemical fertilizers (see picture)
Physical examination, no fever, temperature 37°C, whistling lungs, X-ray of lungs, small white patches in both lungs (see picture) Computer scan of lungs, multiple scattered patches in the two lungs (see picture) Performing an endoscopic procedure in Bronchoscopy: There is very thick yellow sputum in both tracheas, which can often be suctioned out. sent water to wash the lungs Dye found no tuberculosis. Late fungal finding color The fungi were cultured as aspergillus fumigatus and Rhizopus spp. (see figure) The Aspergillus galactomannan bronchial antigen was positive.
summarize: Pneumonia is caused by a fungal infection. he gave a new fungicide Isavuconazole Which is very expensive, can cover both types of fungi. After taking the drug, the patient recovers slowly, less cough, less tired.
Patients with low immunity from foodsteroid medicationcontinuous for a year The patient’s house is next to the maize warehouse, the patient is breathing.Fungal spores that grow in corn kernelsto the lungs, the new fungicide must be continued for several months. until a chest X-ray returned to normal.
Source: Doctor Manoon Leechawengwong FC
