Resumo

VAZQUEZ MUNOZ, E.; MORADO ARIAS, M.  e  SOBRINO DAZA, J. A.. Multivisceral infarcts are complication of invasive aspergillosis . An. Med. Interna (Madrid) [online]. 2002, vol.19, n.10, pp.40-42. ISSN 0212-7199.

Aspergillus fumigatus is one of the species of Aspergillus that causes aspergillosis. The clinical picture of invasive-disseminated aspergillosis is generally charactericed by fever and respiratory distress that usually follows a fatal course. This form of invesive aspergillosis is suffered by severely immunossupressed patients. There is another clinical form of severe aspergillosis, aortic aspergillosis, that appears after cardiac surgery.  We present two cases of invasive aspergillosis complicated by multiple visceral infarcts involving the liver, spleen, kidneys, pancreas, thiroid and brain. Infarcts were confirmed in necropsy and appeared to be caused by an overwhelming amount of intravascular hiphae, wich were observed in the infarcted areas acting forming septic embolus.  We believe that multi-visceral infarcts are an underestimed complication of invasive aspergillosis. Given the progressive increse in the population of immunossupressed patients, clinicians have to aware of all the possible presentations of invasive aspergillosis. 

Palavras-chave : Invasive aspergillosis; Visceral infarcts; Arteritis por Aspergillus; Hiphae.

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