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Aspergilloma in a patient with an occult congenital pulmonary airway malformation

Lael M Yonker1, Eugene J Mark, Craig A Canapari

  • 1Harvard Medical School, Boston, Massachusetts; Massachusetts General Hospital, Boston, Massachusetts, USA. lyonker@partners.org

Pediatric Pulmonology
|September 10, 2011
PubMed

Insights

A rare case of pulmonary aspergilloma was found in a previously unrecognized congenital pulmonary airway malformation (CPAM) in a teenage male. This is the first documented instance of an aspergilloma developing within a CPAM.

Area of Science:

  • Pulmonology
  • Mycology
  • Pediatric Medicine

Background:

  • Congenital pulmonary airway malformations (CPAMs) are rare congenital lung abnormalities.
  • Pulmonary aspergilloma is a fungal ball that can form in pre-existing lung cavities.

Observation:

  • A 14-year-old male presented with symptoms related to a right upper lobe lung mass.
  • Imaging revealed an aspergilloma within a CPAM, which had not been previously diagnosed.

Findings:

  • This case represents the first reported instance of an aspergilloma developing within a congenital pulmonary airway malformation.
  • The aspergilloma was successfully treated, and the patient recovered.

Implications:

  • This case highlights the importance of considering aspergilloma in the differential diagnosis of lung masses in patients with CPAM.
  • Early diagnosis and treatment are crucial for favorable outcomes in such cases.
  • Further research may be warranted to understand the relationship between CPAM and fungal infections.

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