Abstract
We describe a case of a man with ectopic Cushing's syndrome, elevated serum beta-D-glucan, and respiratory cultures with Pseudomonas, Aspergillus, and a partially acid-fast organism. Our case highlights challenges in diagnosis and management of coinfection in an immunocompromised host.
Keywords:
Beta-D-glucan; High cortisol state; Immunocompromised host; Partially acid-fast.
MeSH terms
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Aspergillus / isolation & purification*
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Bronchoscopy
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Cushing Syndrome / complications
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Humans
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Male
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Microscopy
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Middle Aged
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Nocardia / isolation & purification*
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Pneumonia, Bacterial / complications
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Pneumonia, Bacterial / diagnosis
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Pneumonia, Bacterial / pathology*
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Pseudomonas / isolation & purification*
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Pulmonary Aspergillosis / complications
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Pulmonary Aspergillosis / diagnosis
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Pulmonary Aspergillosis / pathology*
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Radiography, Thoracic
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Serum / chemistry*
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Tomography, X-Ray Computed
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beta-Glucans / blood*