This makes the patient extremely susceptible to opportunistic infections. Frthermore, eght months post his renal transplant, te 45-year-old farmer, i presented again to the hospital with a history of respiratory distress. Te patient is under severe pain since he is able to speak with utmost difficulty on his part. Te X-ray showed bilateral fluffy infiltrates. Te culture examination of the sputum sample collected did not reveal any bacterial growth. Een though no bacteria are found, te patient is still treated with antibiotics, wich would inevitably prove to be can therefore be confirmed that there were colonies of fungal infection of the lungs.
Tese infections were found to grow on the Sabourand agar, wich is the selective medium for fungi. Te sabourand agar is the highly effective and most prominent medium utilized for the isolation of yeast and fungi. Te fact that the location of the patient is on a farm is also very indicative of fungal infection where spores abound. Te most likely fungus, wich is found at a greater percentage in immunocompromized patients, icludes Cryptococcusneoformans, Apergillus, Aart from this, te thermally dimorphic fungi could also be the cause of the symptoms.
Tese fungi could cause conditions such as Paracoccidioidomycosis, Hstoplasmosis, Cccidioidomycosis and Blastomycosis all of which the highly suggestive cause of pulmonary infections. Te most effective results of the therapies for fungal infections are observed only in cases when the infection is a long-term process and treated at early stages of the condition. I such a patient there would have been a higher probability of premature detection if the farmer had been advised regular medical after the surgery in which suitable intrusion and changes in lifestyle could have been suggested.
Hwever, te patient was presented at a very late stage and thus it was impossible to cure him with antibiotics. Te normal physiological parameters like Hemoglobin, ceatinine, SOT/SGPT, ttal as well as differential leukocyte counts and Blood Glucose level of the patient clearance also should have been checked on his presentation at the hospital. Fllowing which, esential hospitalization with intensive care, i needed, sould have been recommended. Aart from the standard sveral newer techniques like computerized axial tomography of the thoracic region along with PCR. ..
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