Abstract
This case involves a 7-year-old boy admitted with high fever, persistent cough, anorexia, and chest rales. Chest radiographs revealed basal infiltrates and bronchiectatic changes. Initial bacterial cultures were negative, and antibiotic treatment showed no improvement. Direct microscopy and cultures of fresh sputum and bronchial secretions revealed abundant Candida albicans. Diagnosis of primary bronchopulmonary candidiasis was confirmed, as no underlying immunosuppressive condition was found. Treatment combined potassium iodide, Mycostatin (nystatin), Fumisin (possibly flucytosine or similar), and postural drainage over 5 weeks. Gradual clinical and radiological improvement was documented, with full recovery confirmed by absence of candidal growth and normalized chest imaging.
Keywords
pulmonary candidiasis candida albicans fungal pneumonia bronchoscopy pediatric fungal infections antifungal therapy mycostatin potassium iodide
References
- Bakst HJ, Hazard JB, Foley JA.: Pulmonary Moniliasis, JAMA, 1934 Beckmann AJ, Navarro JE.: Oral Thrush Pneumonia Treated with Mycostatin, J Pediatrics, 1955 Boggs TR, Pincoffs MC.: Pulmonary Moniliasis, Johns Hopkins Bull., 1915 Castellani A.: Tropical Fungus Diseases, Lancet, 1912 Cohen AC.: Pulmonary Moniliasis, Am. J. Med. Sci., 1953 Emanuel B. et al.: Neonatal Pulmonary Candidiasis, J Pediatrics, 1962 Hamil BM.: Bronchopulmonary Mycosis, Am. J. Dis. Child., 1950 Kligman AM.: Fungus Infections & Antibiotics, JAMA, 1952 Oslath RW et al.: Pulmonary Moniliasis, Ann Intern Med., 1951 Sahni PS.: Pulmonary Moniliasis in Children, J Pediatrics, 1957 Volkheimer G.: Intestinal Absorption of Fungi, Die Stärke, 1968 Winter WD, Foley GE.: Candida in Pediatric Neoplasia, Pediatrics, 1956 Wylie PE, Deblase JA.: Bronchopulmonary Moniliasis, JAMA, 1944
Abstract
7 yaşında erkek bir çocuk, ateş, öksürük, terleme ve iştahsızlık şikâyetleri ile kliniğe başvurmuştur. Akciğer grafisinde sol bazal bölgede infiltrasyon ve bronşektazik değişiklikler izlenmiştir. Antibiyotik tedavisi etkisiz kalmış, kültürlerde bakteriyel üreme görülmemiştir. Taze balgam ve bronkoskopi ile alınan bronş sekresyonlarında mebzul miktarda Candida albicans saptanmış; altta yatan bağışıklık zafiyeti bulunmadığı için primer bronkopulmoner candidiasis teşhisi konulmuştur. Potassium iodür, Mycostatin (nystatin), Fumisin ve postural drenaj uygulanan kombine tedavi ile hastalık 5 haftada gerilemiş; akciğer grafisinde lezyonun tamamıyla düzeldiği izlenmiş ve kültürlerde candida üremesi gözlenmemiştir.
Keywords
pulmoner candidiasis candida albicans mantar pnömonisi bronkoskopi çocuk enfeksiyonları antifungal tedavi mycostatin potassium iodür
References
- Bakst HJ, Hazard JB, Foley JA.: Pulmonary Moniliasis, JAMA, 1934 Beckmann AJ, Navarro JE.: Oral Thrush Pneumonia Treated with Mycostatin, J Pediatrics, 1955 Boggs TR, Pincoffs MC.: Pulmonary Moniliasis, Johns Hopkins Bull., 1915 Castellani A.: Tropical Fungus Diseases, Lancet, 1912 Cohen AC.: Pulmonary Moniliasis, Am. J. Med. Sci., 1953 Emanuel B. et al.: Neonatal Pulmonary Candidiasis, J Pediatrics, 1962 Hamil BM.: Bronchopulmonary Mycosis, Am. J. Dis. Child., 1950 Kligman AM.: Fungus Infections & Antibiotics, JAMA, 1952 Oslath RW et al.: Pulmonary Moniliasis, Ann Intern Med., 1951 Sahni PS.: Pulmonary Moniliasis in Children, J Pediatrics, 1957 Volkheimer G.: Intestinal Absorption of Fungi, Die Stärke, 1968 Winter WD, Foley GE.: Candida in Pediatric Neoplasia, Pediatrics, 1956 Wylie PE, Deblase JA.: Bronchopulmonary Moniliasis, JAMA, 1944
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Pediatric Infectious Diseases |
| Journal Section | Articles |
| Authors | |
| Publication Date | December 31, 1971 |
| Published in Issue | Year 1971 Volume: 24 Issue: 6 |