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[Pulmonary aspergilloma caused by Aspergillus niger]
M Korzeniowska-Koseła1, H Halweg, I Bestry
1I Kliniki Gruźlicy, Chorób Płuc oraz Samodzielnej Pracowni Mikologii, Kierownik.
Pneumonologia Polska
|June 1, 1990
Summary
A case of pulmonary aspergilloma caused by Aspergillus niger was diagnosed in a 66-year-old male. This fungal infection complicated a pulmonary abscess, highlighting a rare presentation of Aspergillus niger.
Area of Science:
- Pulmonology
- Mycology
- Infectious Diseases
Background:
- Pulmonary lesions with cavitation present a diagnostic challenge.
- Differential diagnosis for cavitary pulmonary lesions includes malignancy, tuberculosis, and fungal infections.
Observation:
- A 66-year-old male presented with upper left lobe pulmonary lesions and cavitation.
- Fungi, identified as Aspergillus niger, were cultured from bronchial washings and sputum.
- Microscopic examination revealed characteristic fungal forms and calcium oxalate crystals.
Findings:
- The final diagnosis was pulmonary aspergilloma caused by Aspergillus niger.
- The aspergilloma complicated a pulmonary abscess secondary to pneumonia.
Implications:
- This case underscores the importance of considering fungal infections, particularly Aspergillus niger, in cavitary pulmonary lesions.
- Early and accurate diagnosis of pulmonary aspergilloma is crucial for effective management.
- The presence of calcium oxalate crystals may be a diagnostic clue for Aspergillus niger infections.