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Q@Q timed ⑥ - cardio69
#1
A pat who has been Dx with sarcoidosis experiences severe hemoptysis. Imaging studies are strongly suggestive of bronchiectasis and cavitation. In addition, several movable masses are detected within the cavitation. Surgical resection of the affected area is preformed and the contents of these cavitary masses are cultured. Microscopic view of the 72hrs culture reveal here http://upload.wikimedia.org/wikipedia/co...gillus.jpg


Patients with which of the following have the lowest risk of invasive pulmonary as above infection?

a)Allogeneic stem cell transplant with GVH disease
b)Long standing high dose glucocorticoids
c)Relapsed or uncontrolled leukemia
d)HIV infection
e)Post solid organ transplant with multiple episodes of rejection


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#2
A?

It's aspergillosis. The movable thing is aspergilloma.

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#3
Lowest risk would be E
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#4
Can you tell me 1ry risk factor for developing INvasive Aspergillus ?
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#5
organ rejection, hiv, leukemia
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#6
@ha, neutropenia & glucocorticoid use.

Stable HIV pat rarely dev invasive aspergillosis. ( Harrison's PIM take look fig IV-208)


Ans *D*
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#7
ohh thanks alot, did not know that.

Thanks
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#8
thanks for the Q
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#9
Welcome.
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