Acute and Critical Care

Original Article

Pulmonary
The Role of Transbronchial Lung Biopsy in Diagnosing Pulmonary Mucormycosis in a Critical Care Unit: Yoonki Hong, Jinkyeong Park; Korean J Crit Care Med. 2017;32(2):205-210. Published online May 31, 2017; DOI: https://doi.org/10.4266/kjccm.2017.00150

Abstract PDF: Background
Pulmonary mucormycosis (PM) is an emerging infectious disease and a life-threatening infection with high mortality. The clinical outcomes of PM have not improved significantly over the last decade because early diagnosis of PM is difficult and antifungal agents show limited activity. We evaluated the clinical manifestations of PM in a Korean tertiary hospital and identified the role of transbronchial lung biopsy (TBLB) in diagnosing PM in patients admitted to an intensive care unit.
Methods
The medical records of adult patients (aged 16 years and older) who met the criteria for proven or probable PM in a Korean tertiary hospital were retrospectively reviewed from January 2003 to December 2013. The clinical features, computed tomographic findings, diagnostic methods, treatment, and outcomes in patients with PM were evaluated.
Results
Of the nine patients, four were male. The median age was 64 years (range, 12 to 73 years). PM was proven and probable in seven and two cases, respectively. Computed tomography findings of PM were unilateral involvement in eight cases (89%), consolidation in eight (89%), ground glass opacity in four (44%), and reverse halo sign in one (11%). Six of nine cases (67%) were diagnosed as PM from TBLB via portable bronchoscopy. There were no complications after TBLB. Mortality rate was 56% (five of nine cases).
Conclusions
TBLB can be an easy and useful technique for diagnosing PM in the intensive care unit.

Letter to the Editor

CPR/Resuscitation
Refractory Ventricular Arrhythmia Induced by Aconite Intoxication and Its Treatment with Extracorporeal Cardiopulmonary Resuscitation: Mi Kyoung Hong, Jeong Hoon Yang, Chi-Ryang Chung, Jinkyeong Park, Gee Young Suh, Kiick Sung, Yang Hyun Cho; Korean J Crit Care Med. 2017;32(2):228-230. Published online May 31, 2017; DOI: https://doi.org/10.4266/kjccm.2017.00017

Citations

Citations to this article as recorded by

A Narrative Review of Aconite Poisoning and Management
Christine Lawson, Daniel J. McCabe, Ryan Feldman
Journal of Intensive Care Medicine.2024;[Epub] CrossRef
Extracorporeal cardio-pulmonary resuscitation in poisoning: A scoping review article
Mingwei Ng, Zi Yang Wong, R. Ponampalam
Resuscitation Plus.2023; 13: 100367. CrossRef
Accidental poisoning with Aconitum: Case report and review of the literature
Giuseppe Bonanno, Mariachiara Ippolito, Alessandra Moscarelli, Giovanni Misseri, Rosaria Caradonna, Giuseppe Accurso, Andrea Cortegiani, Antonino Giarratano
Clinical Case Reports.2020; 8(4): 696. CrossRef

Search