A Rare Case of Fatal Endobronchial Mucormycosis Masquerading as Endobronchial Tuberculosis

Medicina (Kaunas). 2020 Feb 6;56(2):64. doi: 10.3390/medicina56020064.

Abstract

Pulmonary mucormycosis is a relatively rare but often fatal opportunistic fungal infection that occurs mostly in immunocompromised patients. Endobronchial mucormycosis, a distinct clinical form of pulmonary mucormycosis, is very rare, and only a few cases have been reported. The most common bronchoscopic findings in patients with endobronchial mucormycosis are stenosis, erythematous mucosa and airway obstruction. Here, we present a case of fatal endobronchial mucormycosis mimicking actively caseating endobronchial tuberculosis in a young diabetic patient living in a country with an intermediate tuberculosis burden.

Keywords: diabetes mellitus; endobronchial mucormycosis; endobronchial tuberculosis; fungal infection.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bronchial Diseases / diagnosis*
  • Bronchoscopy
  • Diabetes Mellitus, Type 1 / complications*
  • Diagnosis, Differential
  • Fatal Outcome
  • Humans
  • Male
  • Mucormycosis / diagnosis*
  • Rare Diseases / diagnosis*
  • Tomography, X-Ray Computed
  • Tuberculosis, Pulmonary / diagnosis*