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Diabetes Care 25:2105, 2002
© 2002 by the American Diabetes Association, Inc.

Letters: Observations
Letter

Pulmonary Mucormycosis in a Diabetic Patient with HIV

Marie-Laure Virally, MD1, Jean-Pierre Riveline, MD1, Jerome Virally, MD2, Pierre Chevojon, MD3, Jean-François Regnard, MD4, Abderrahmane Belmekki, MD5 and Alain Devidas, MD3

1 Department of Diabetology, Sud Francilien Hospital, Corbeil-Essonnes, France
2 Department of Lung Disease, R. Balanger Hospital, Aulnay sous-Bois, France
3 Division of Haematology, Sud Francilien Hospital, Corbeil-Essonnes, France
4 Department of Thoracic Surgery, Hotel-Dieu Hospital, Paris, France
5 Department of Lung Disease, Sud Francilien Hospital, Corbeil-Essonnes, France

The first 20% of the full text of this article appears below.

In 1994, a 43-year-old woman was admitted to the hospital for acute lung infection and was subsequently diagnosed with HIV without any opportunistic infection. One month before admission, she developed fever, asthenia, cough, and polyuro-polydipsic syndrome with a 10-kg weight loss. The chest X-ray was normal. Clinical assessment showed hyperthermia (38.4°C), permanent cough, hemoptysis, anterior chest pain, and crackles in the right upper field. The chest X-ray revealed a systematic opacity in the right upper lobe. A computed tomographic scan showed a voluminous cavitation (56 x 64 mm) with a bronchus of drainage. The laboratory tests revealed type 2 diabetes (glycemia 28 mmol/l; serum HCO3 22 mmol/l; anti-GAD antibodies 0.51 units/ml [<1]; and C-peptide 2.3 ng/ml . . . [Full Text of this Article]


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Copyright © 2002 by the American Diabetes Association.