Disseminated aspergillosis due to Aspergillus flavus in a pediatric patient with a recent diagnosis of acute lymphoblastic leukemia

Abstract

Twenty-nine-year-old mother, primary school education, cleaning assistant, single, denied drug use. Father outside de family nucleus, medical history unknown. A nine-year-old brother, healthy. Two half-brothers on the mother’s side of 6 and 12 years of age, healthy. Resident of Tultitlán, State of Mexico. He lived in a house with five rooms with running water, electricity and drainage system, with 20 cohabitants. He was exposed to lamb, chickens, cats, a dog, and a rabbit. His diet consisted of four meals a day, with a high intake of simple carbohydrates. Psychomotor development according to age. He attended the third grade and had good academic performance. Immunizations: the fourth dose of the pentavalent vaccine and the first and second doses of the triple viral vaccine were missed. Product of the third pregnancy. Irregular prenatal control from the second trimester. The mother began with hematinics since the second trimester. She attended five consultations, and four obstetric ultrasounds were performed (OUS) which were referred as normal. She had repeated episodes of cervicovaginitis from the second trimester, without any treatment. The product was delivered vaginally at 42 weeks of gestation (WOG). He breathed and cried at birth. Apgar 8/9, Capurro 42 WOG, a weight of 2700 g, and 47 cm of height. Advanced resuscitation maneuvers were not required. Both were discharged after 24 hours without any complications. Allergies, previous surgical history, traumatisms, transfusions and previous hospitalizations were denied.