Table 1. Timeline of a female patient clinical evolution diagnosed with primary pulmonary sporotrichosis in Natal city, Rio Grande do Norte State, Northeast Brazil.
Period of time | Week 1 | Week 2 | Week 3 | Week 4 |
---|---|---|---|---|
Empirical antibacterial (LEV) and antifungal (FLU) therapy | X | X | ||
Multiple bilateral pulmonary nodules (Chest X-ray) | X | |||
Aspergillus sp. positive culture on sputum | X | |||
Pulmonary nodular images and central necrosis (CT) | X | |||
Antifungal therapy (AmB) | X | |||
Corticosteroid treatment (PRS) | X | |||
Antibacterial therapy (PTAZ) | X | |||
ICU admission | X | |||
Intravenous corticosteroid | X | |||
Acute respiratory failure (mechanical ventilation) | X | |||
Acute renal insufficiency and subsequently septic shock | X | |||
Hemodialysis | X | |||
Sporothrix brasiliensis BAL positive direct examination and culture | X | |||
AmB to ICZ replacement | X | |||
Death | X |
LEV (Levofloxacin); FLU (Fluconazole); CT (Computed Tomography); AmB (Amphotericin B); PRS (Prednisone);
PTAZ (Piperacilin + tazobactan); ICU (Intensive care Unit); ICZ (Itraconazole); BAL (Bronchoalveolar lavage)