An unusual cause of XXXX .

@entity748 @entity3071 @entity1712 @entity1 @entity1353 @entity2380 @entity55 @entity5627 @entity364 @entity358 @entity56 @entity1576 @entity230 @entity378 @entity221 @entity17178
A 65 year old female, known @entity748 on @entity230 intermittently, with no other co-morbidity presented with @entity221 , @entity1353 and cough with mucoid expectoration of ten days duration with bilateral crepts, went for @entity1576 and was intubated followed by tracheostomy in view of prolonged ventilator support. In spite of high end antibiotics as per sputum culture sensitivity, weaning off the ventilator was not possible. Blood investigations revealed leucocytosis with neutrophilic predominance and IgE levels were within normal limits. CT chest showed multiple patchy consolidations of the right upper, middle and lower lobes with ground glass appearance and enlarged mediastinal lymph nodes. Work up for retrovirus, @entity378 and Sputum for @entity3071 mount was negative. No evidence of sputum and blood @entity1712 . BAL sample grew Curvularia species. @entity2380 150mg OD was added. Serial imaging of the chest showed resolution of the consolidation and was weaned off the ventilator and was comfortable on room air. @entity55 caused by Curvularia, in an immune competent @entity1 is very rare. Even in broncho @entity358 these fungi usually occur in @entity56 as in @entity17178 than appearing as a solitary cause for @entity358 . But if diagnosed and treated early, will respond well to @entity5627 . This case report highlights a unilateral @entity364 with dramatic clinical improvement post treatment once the rare causative organism was identified.
