Mycopathologia

, Volume 180, Issue 1–2, pp 131–136 | Cite as

Pulmonary Gangrene Due to Rhizopus spp., Staphylococcus aureus, Klebsiella pneumoniae and Probable Sarcina Organisms

  • Abhijit Chougule
  • Valliappan Muthu
  • Amanjit Bal
  • Shivaprakash M. Rudramurthy
  • Sahajal Dhooria
  • Ashim Das
  • Harkant Singh
Article

Abstract

Pulmonary gangrene is a life-threatening condition, which represents the fulminant end of the infectious lung diseases usually caused by polymicrobial infection. Aerobic and anaerobic bacteria act synergistically to produce massive tissue necrosis which might be augmented by the angioinvasive nature of fungi like Mucor. We report a successfully treated case of pulmonary gangrene in a poorly controlled diabetic patient, which was associated with polymicrobial infection. It was caused by Rhizopus spp., Staphylococcus aureus, Klebsiella pneumoniae and unusual anaerobic organism Sarcina. This is the first report describing the presence of Sarcina organisms in a case of pulmonary gangrene. Adequate glycemic control, treatment of coexisting polymicrobial infection and prompt antifungal therapy along with surgical intervention were useful in the index patient. This case also highlights the effectiveness of combined medical and surgical intervention in a case of pulmonary gangrene.

Keywords

Pulmonary gangrene Mucormycosis Sarcina 

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Copyright information

© Springer Science+Business Media Dordrecht 2015

Authors and Affiliations

  • Abhijit Chougule
    • 1
  • Valliappan Muthu
    • 2
  • Amanjit Bal
    • 1
  • Shivaprakash M. Rudramurthy
    • 3
  • Sahajal Dhooria
    • 2
  • Ashim Das
    • 1
  • Harkant Singh
    • 4
  1. 1.Department of HistopathologyPost Graduate Institute of Medical Education & Research, (PGIMER)ChandigarhIndia
  2. 2.Department of Pulmonary MedicinePost Graduate Institute of Medical Education & Research, (PGIMER)ChandigarhIndia
  3. 3.Department of Medical MicrobiologyPost Graduate Institute of Medical Education & Research, (PGIMER)ChandigarhIndia
  4. 4.Department of Cardiovascular and Thoracic SurgeryPost Graduate Institute of Medical Education & Research, (PGIMER)ChandigarhIndia

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