Disseminated Aspergillosis due to Aspergillus niger in Immunocompetent Patient: A Case Report

Ulku Ergene1, Zeynep Akcali, Demircan Ozbalci

  • 1Department of Hematology, Medical Faculty, Celal Bayar University, Manisa, Turkey.

Insights

Disseminated aspergillosis, a rare infection in immunocompetent individuals, was successfully treated. This case highlights effective antifungal therapy for invasive Aspergillus niger infection in an immunocompetent patient.

Area of Science:

  • Mycology
  • Infectious Diseases
  • Clinical Medicine

Background:

  • Invasive aspergillosis commonly affects immunocompromised patients, leading to significant morbidity and mortality.
  • While localized forms (pulmonary, cutaneous, cerebral, paranasal sinus) are documented in immunocompetent individuals, disseminated disease remains exceptionally rare.

Purpose of the Study:

  • To report a rare case of extrapulmonary disseminated aspergillosis in an immunocompetent patient.
  • To emphasize the successful management of invasive Aspergillus niger infection with voriconazole.

Main Methods:

  • Case presentation of an immunocompetent individual diagnosed with disseminated aspergillosis.
  • Treatment with voriconazole, a broad-spectrum antifungal agent.

Main Results:

  • The patient, despite being immunocompetent, developed disseminated Aspergillus niger infection.
  • Complete recovery was achieved following targeted antifungal treatment with voriconazole.

Conclusions:

  • Extrapulmonary disseminated aspergillosis can occur in immunocompetent individuals, although rare.
  • Voriconazole is an effective treatment option for invasive Aspergillus niger infections, even in the absence of traditional risk factors.

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