Invasive Species Compendium

Detailed coverage of invasive species threatening livelihoods and the environment worldwide

Abstract

Pulmonary aspergillosis: a case report of invasive aspergillosis caused by Aspergillus fumigatus.

Abstract

Aspergillus - a genus consisting of mold species widely distributed in the environment. The spectrum of pulmonary diseases includes invasive aspergillosis (IA), chronic pulmonary aspergillosis (CPA) and allergic bronchopulmonary aspergillosis (ABPA). We report a case of invasive aspergillosis caused by Aspergillus fumigatus in a 65-year-old patient admitted with complaints of shortness of breath, general weakness, and malaise. Diagnosis of "probable" aspergillosis was established based on microbiological and radiological investigations. During microbiological analysis A.fumigatus was isolated an identified based on cultural and morphological characteristics. Despite the medical treatment, the patient's complaints worsened. He refused artificial lung ventilation apparatus. Probably, chronic obstructive pulmonary disease (COPD) together with late diagnosis and absence of appropriate treatment resulted in the development of IA and lethal outcome. CPA develops in immunocompetent patients, suffering from tuberculosis or other diseases accompanied by the formation of cavities in lungs. This case demonstrates the importance of reliable and timely diagnosis of aspergillosis in order to provide patients with adequate treatment. Taking into account difficulty of obtaining of punctate for histopathological examination and absence of radiological signs physicians should give more attention to the probability of aspergillosis in patients with chronic disease in order to apply adequate therapy and reduce the number of lethal outcomes.