Angioinvasive pulmonary mucormycosis presenting as multiple bilateral pulmonary nodules in a patient without obvious predisposing factors

Sharma A, Gupta V, Singh RS, Kakkar N, Singh S, Bambery P
Correspondence: Dr Aman Sharma, amansharma74@yahoo.com

ABSTRACT
Pulmonary mucormycosis is a rare, frequently fatal, fungal infection. It is usually seen in the presence of various immunocompromised states, such as diabetes mellitus, haematological malignancy or renal transplantation. In the absence of underlying predisposing conditions, presentation with infiltrates, consolidation, cavitation and mass lesion have been reported. We describe a 50-year-old man who presented with cough and chest pain for six months. Chest radiograph and computed tomography showed bilateral multiple pulmonary nodules. Surgical lung biopsy revealed angioinvasive mucormycosis. He had complete recovery with amphotericin therapy.

Keywords: angioinvasive pulmonary mucormycosis, fungal infection, pulmonary mucormycosis, pulmonary nodules
Singapore Med J 2008; 49(10): e269-e271