Pulmonary mucormycosis
Diagnosis certain
Disclosures
- updated 10 Jun 2024:
Nothing to disclose
Updates to Case Attributes
Body
was changed:
Initially it was thought that his right upper limb weakness was due to a cerebrovascular accident (CVA), however both a CT brain and a subsequent MRI brain were normal. The routine CXR revealed an unexpected right apical mass and CT demonstrated the typical bird’s nest appearance. Invasion of the spine and chest wall in the region of the brachial plexus satisfactorily explains his right upper limb weakness. The patient was found to have uncontrolled diabetes mellitus (HbA1c-14%), a risk factor for mucormycosis due to impaired immune function.
Co-authors:
Dr. Neeraj Bharti (MD, Internal Medicine).
and Dr. Saket Ballabh (DMRD, DNB, Radiodiagnosis).
-<p>Initially it was thought that his right upper limb weakness was due to a cerebrovascular accident (CVA), however both a CT brain and a subsequent MRI brain were normal. The routine CXR revealed an unexpected right apical mass and CT demonstrated the typical bird’s nest appearance. Invasion of the spine and chest wall in the region of the brachial plexus satisfactorily explains his right upper limb weakness. The patient was found to have uncontrolled diabetes mellitus (HbA1c-14%), a risk factor for mucormycosis due to impaired immune function. </p><p>Co-authors:</p><p>Dr. Neeraj Bharti (MD, Internal Medicine).</p><p>Dr. Saket Ballabh (DMRD, DNB, Radiodiagnosis).</p>- +<p>Initially it was thought that his right upper limb weakness was due to a cerebrovascular accident (CVA), however both a CT brain and a subsequent MRI brain were normal. The routine CXR revealed an unexpected right apical mass and CT demonstrated the typical <a href="/articles/birds-nest-sign-lungs" title="Bird’s nest sign (lungs)">bird’s nest</a> appearance. Invasion of the spine and chest wall in the region of the brachial plexus satisfactorily explains his right upper limb weakness. The patient was found to have uncontrolled diabetes mellitus (HbA1c-14%), a risk factor for mucormycosis due to impaired immune function.</p><p>Co-authors: Dr. Neeraj Bharti (MD, Internal Medicine) and Dr. Saket Ballabh (DMRD, DNB, Radiodiagnosis)</p>
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Updates to Study Attributes
Caption
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CT guided-guided biopsy
Updates to Study Attributes
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HRCT Thoraxthorax
Updates to Study Attributes
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Portable AP Chest Xchest x-ray
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