Manu warned that a 79-year-old man who tore up old books in his home has a lung infection with an invasive Aspergillus fungus.
Today (October 13, 65) Dr. Manoon Leechwengwong, Respiratory Disease Specialist Wichaiut Hospital Post a Facebook message, Dr. Manoon Leechawengwong FC said that danger is near when you take apart old books at home. Watch out for lung fungi Stating that …
A 79-year-old male patient prepares to move to Bang Khae. BMA went to live in an apartment building, 2 people in the house to take apart old books that have been collected for more than 20 years, the paper of the book turns brown. throw away and keep only a few. The patient sat in the study room for two hours while he took apart the book. without wearing a mask
Dr. Manoon said a three-month patient with chronic inflammatory demyelinating polyradiculoneuropathy (CIDP), numbness and weakness in limbs, is being treated with high-dose steroids and cellcept Physical examination, fever, temperature 38.1 degrees Celsius, normal auscultation pulmonary. Abnormal lung X-rays, computed tomography of the lungs, small cavities in the lung area with multiple white spots in both lungs
When the endoscope looks into the lungs Found some white sputum. Send the sputum aspirated from the trachea for examination. The dye found late fungi, without tuberculosis, aspergillus fumigatus and another aspergillus spp, unknown species. Lung lavage to measure bronchial aspergillus galactomannan, positive, aspergillus fungal infection confirmed.
recap:
The patient was immunocompromised by taking steroids and immunosuppressants; Aspergillus infection was caused by inhaling aspergillus spores that grow in the moist pulp of old books that float over time When the book is cut down, it enters the lungs, causing aspergillosis. invasive pulmonary aspergillosis
Treatment method:
Administer a fungicidal treatment. Types of voriconazole (voriconazole) The patient got better, the person who helped move the book, no one got sick, even inhaling the fungal spores. due to good health have good immunity
Tips: Ask the weak to have a congenital disease low immunity Wear a hygienic mask when dismantling old books around the house, or the best way to do it. Avoid being in a room where books are being demolished. Because it can breathe fungal spores into the lungs. can cause fungal infections in the lungs
More information
Aspergillosis (Aspergillosis) is a disease caused by Aspergillus infection. Aspergillus causes most infected people to develop symptoms related to the respiratory system. The severity of each person can vary. Some people may just have an allergic reaction. Some people may have a lung infection.
Spores of Aspergillus fumigatus, late fungi are more common in the environment and in the air. When inhaled, the spores grow in the lungs of people with low immunity. cause respiratory failure pneumonia
