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Published on: February 15, 2019
An aspergilloma caused by Aspergillus flavus
1School of Medicine, The University of Manchester and Wythenshawe Hospital, The Regional Mycology Laboratory, Manchester, UK. acpasqualotto@hotmail.com
Abstract:
Chronic pulmonary aspergillosis is broad term encompassing chronic cavitary, chronic fibrosing pulmonary aspergillosis and aspergilloma. All affect patients with structural lung diseases and many have subtle genetic immune defects. Almost all cases are caused by Aspergillus fumigatus. Here we report a patient with an aspergilloma which had Aspergillus flavus recovered from a surgical specimen and serum containing detectable precipitating antibody.
Insights
This study reports a rare case of aspergilloma caused by Aspergillus flavus, not the usual Aspergillus fumigatus. The patient also had detectable antibodies, highlighting a unique presentation of fungal lung disease.
Area of Science:
- Mycology
- Pulmonology
- Immunology
Background:
- Chronic pulmonary aspergillosis is a spectrum of fungal lung diseases.
- It typically affects individuals with underlying lung conditions and immune deficiencies.
- Aspergillus fumigatus is the most common causative agent.
Observation:
- This report details a patient diagnosed with an aspergilloma.
- The fungal isolate from the surgical specimen was identified as Aspergillus flavus.
- Serum analysis revealed the presence of precipitating antibodies.
Findings:
- The causative agent was Aspergillus flavus, an uncommon cause of aspergilloma.
- The patient demonstrated a serological response, indicated by detectable precipitating antibodies.
Implications:
- This case expands the known spectrum of fungal pathogens causing aspergilloma.
- It underscores the importance of considering less common Aspergillus species in diagnosing pulmonary fungal infections.
- Further research may elucidate the specific immune responses to Aspergillus flavus in pulmonary infections.
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