Case Report. Disseminated aspergillosis complicating pregnancy
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Updated: Sep 28, 2026

Histological Quantification to Determine Lung Fungal Burden in Experimental Aspergillosis
Published on: March 9, 2018
Abstract:
We report a case of disseminated aspergillosis in a hitherto healthy 24-year-old woman during her 24th week of pregnancy. Relevant findings at autopsy revealed innumerable septate, dichotomously branched (45 degrees ) hyphae compatible with Aspergillus in lung and liver tissues. Cerebral histology showed cerebral vessels occluded by hyphae causing cerebral infarction. There was no evidence of invasive aspergillosis in the placenta and fetal tissues. Aspergillus sp. was confirmed by amplification of a specific 357-base-pair amplicon from a paraffin block containing lung tissue. This case illustrates a previously uncharacterized spectrum of disseminated aspergillosis, indicating the need for a heightened awareness that Aspergillus species are opportunistic agents for invasive and disseminated infection in pregnancy.
Insights
Disseminated aspergillosis, a fungal infection, occurred in a healthy pregnant woman. This rare case highlights the opportunistic nature of Aspergillus species during pregnancy.
Area of Science:
- Medical Mycology
- Obstetrics and Gynecology
- Pathology
Background:
- Disseminated aspergillosis is a severe fungal infection.
- Pregnancy can alter immune status, potentially increasing susceptibility to opportunistic infections.
Observation:
- A healthy 24-year-old pregnant woman (24 weeks gestation) presented with disseminated aspergillosis.
- Autopsy revealed Aspergillus hyphae in lung and liver tissues.
- Cerebral infarction due to hyphal occlusion of cerebral vessels was observed.
Findings:
- No invasive aspergillosis was found in placental or fetal tissues.
- Aspergillus species DNA was confirmed in lung tissue via PCR.
- The case demonstrates a novel presentation of disseminated aspergillosis in pregnancy.
Implications:
- Highlights the need for increased clinical awareness of invasive fungal infections in pregnant individuals.
- Suggests Aspergillus species can be opportunistic pathogens in pregnancy.
- Underscores the importance of prompt diagnosis and management of invasive fungal infections during gestation.
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