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Case Report

Pulmonary Mycotic Pseudo-Aneurysm with a Prior History of Ventricular Septal Defect. Case Report with Review of Literature

by
Vishal Walasangikar
,
Amit Kumar Dey
,
Rajaram Sharma
*,
Vivek Murumkar
,
Rohit Gadewar
,
Priya Hira
and
Kartik Mittal
Department of Radiology, Seth GS Medical College and KEM Hospital, Maharashtra, India
*
Author to whom correspondence should be addressed.
Adv. Respir. Med. 2016, 84(3), 178-180; https://doi.org/10.5603/PiAP.2016.0021
Submission received: 17 October 2015 / Revised: 28 May 2016 / Accepted: 28 May 2016 / Published: 28 May 2016

Abstract

In general aneurysms of the pulmonary arteries are less frequent than intracranial, aortic or other vascular locations. Infectious causes include bacteria such as Staphylococcus sp and Streptococcus sp, mycobacteria, Treponema pallidium (syphilis) and rarely fungi. We report a 7 year old female with two right-sided parahilar pseudo-aneurysm of fungal origin with a prior history of ventricular septal defect. Pulmonary mycotic pseudo-aneurysms are very rare and require a high suspicion to diagnose. If a patient is still symptomatic for fever and cough for a long time, and consolidation on x-ray is not improving on antibiotics, contrast-enhanced computed tomography is indicated. It can be suspected that the „friable mass attached to ventricular septal defect patch” was a source of fungeal emboli to pulmonary arteries thus giving weight to the infective endocarditis etiology. A prior history of ventricular septal defect repair could favour fungal endocarditis.
Keywords: mycotic pseudo-aneurysm; aneurysm of pulmonary artery; ventricular septal defect; fungi emboli; Candida spp. mycotic pseudo-aneurysm; aneurysm of pulmonary artery; ventricular septal defect; fungi emboli; Candida spp.

Share and Cite

MDPI and ACS Style

Walasangikar, V.; Dey, A.K.; Sharma, R.; Murumkar, V.; Gadewar, R.; Hira, P.; Mittal, K. Pulmonary Mycotic Pseudo-Aneurysm with a Prior History of Ventricular Septal Defect. Case Report with Review of Literature. Adv. Respir. Med. 2016, 84, 178-180. https://doi.org/10.5603/PiAP.2016.0021

AMA Style

Walasangikar V, Dey AK, Sharma R, Murumkar V, Gadewar R, Hira P, Mittal K. Pulmonary Mycotic Pseudo-Aneurysm with a Prior History of Ventricular Septal Defect. Case Report with Review of Literature. Advances in Respiratory Medicine. 2016; 84(3):178-180. https://doi.org/10.5603/PiAP.2016.0021

Chicago/Turabian Style

Walasangikar, Vishal, Amit Kumar Dey, Rajaram Sharma, Vivek Murumkar, Rohit Gadewar, Priya Hira, and Kartik Mittal. 2016. "Pulmonary Mycotic Pseudo-Aneurysm with a Prior History of Ventricular Septal Defect. Case Report with Review of Literature" Advances in Respiratory Medicine 84, no. 3: 178-180. https://doi.org/10.5603/PiAP.2016.0021

APA Style

Walasangikar, V., Dey, A. K., Sharma, R., Murumkar, V., Gadewar, R., Hira, P., & Mittal, K. (2016). Pulmonary Mycotic Pseudo-Aneurysm with a Prior History of Ventricular Septal Defect. Case Report with Review of Literature. Advances in Respiratory Medicine, 84(3), 178-180. https://doi.org/10.5603/PiAP.2016.0021

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