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Pleural perforation of an aspergilloma cavity occurring in a patient with interstitial lung disease

E Peeva1, S Alam, V Jimenez-Lucho

  • 1Northport Veterans Affairs Medical Center and Department of Medicine, State University of New York at Stony Brook, USA.

Scandinavian Journal of Infectious Diseases
|May 4, 1999
PubMed

Insights

A rare complication of aspergilloma, a fungus ball in lung cavities, is spontaneous rupture into the pleural space. This case highlights this unusual event in a patient with interstitial lung disease, leading to hydropneumothorax.

Area of Science:

  • Pulmonology
  • Mycology
  • Radiology

Background:

  • Aspergilloma, a non-invasive form of aspergillosis, forms within pre-existing lung cavities.
  • Rupture into the pleural space is a rare complication, typically seen with invasive aspergillosis in leukemia patients.

Observation:

  • A patient with underlying interstitial lung disease presented with a sudden complication.
  • The aspergilloma cavity spontaneously ruptured, leading to pleural space involvement.

Findings:

  • The rupture resulted in a hydropneumothorax, characterized by air and fluid in the pleural space.
  • Fungal elements (aspergilloma) were observed spilled into the pleural space.

Implications:

  • This case expands the known clinical presentations of aspergilloma complications.
  • Highlights the importance of considering aspergilloma rupture in patients with lung cavities and interstitial lung disease presenting with pleural effusion or pneumothorax.
  • Suggests potential for novel diagnostic and management strategies for this rare event.

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