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Published on: March 9, 2018

A case of pulmonary aspergilloma and actinomycosis

Chen-Wei Huang1, Ming-An Lee1, Ruey-Hwa Lu2

  • 1Division of Chest Medicine, Department of Internal Medicine, Zhongxing Branch of Taipei City Hospital, Taiwan, ROC.

Journal of Medical Microbiology
|December 25, 2010
PubMed

Insights

This case report details a rare dual infection of pulmonary aspergilloma and pulmonary actinomycosis in a healthy woman. Surgical resection successfully resolved both rare lung infections and symptoms.

Area of Science:

  • Pulmonology
  • Infectious Diseases
  • Medical Case Reports

Background:

  • Pulmonary aspergilloma and pulmonary actinomycosis are uncommon pulmonary infections.
  • Symptoms can range from chronic cough and hemoptysis to being asymptomatic.

Observation:

  • A healthy 33-year-old woman presented with persistent hemoptysis and chest pain.
  • Imaging revealed a growing consolidation in the right upper lobe.
  • Initial sputum and bronchoscopy were inconclusive, raising concern for malignancy.

Findings:

  • Pathological examination after wedge resection confirmed a co-infection of pulmonary aspergilloma and pulmonary actinomycosis.
  • The resected lesion contained both fungal and bacterial pathogens.

Implications:

  • This case highlights the importance of considering rare co-infections in pulmonary diagnoses.
  • Surgical intervention can be curative for localized pulmonary aspergilloma and actinomycosis.
  • Emphasizes the diagnostic challenges and successful management of these rare lung diseases.

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