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Detection of Invasive Pulmonary Aspergillosis in Haematological Malignancy Patients by using Lateral-flow Technology
Published on: March 22, 2012
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Pulmonary aspergilloma: An evasive disease
Afua Ofori1, Alexis R Steinmetz2, John Akaasi3
1Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
International Journal of Mycobacteriology
|June 1, 2016
Summary
Aspergillomas, fungal infections, are frequently misdiagnosed as tuberculosis (TB) in developing nations. This case highlights the importance of considering fungal causes in patients with hemoptysis, even when treated for TB.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Pulmonology
Background:
- Tuberculosis (TB) is highly prevalent in many developing countries.
- Hemoptysis (coughing up blood) is often clinically presumed to be TB.
- Aspergillomas can mimic TB symptoms, leading to misdiagnosis.
Observation:
- A patient undergoing treatment for smear-negative TB presented with hemoptysis.
- Clinical diagnosis and high TB prevalence contributed to initial misdiagnosis.
- Diagnostic evaluation revealed the presence of an aspergilloma.
Findings:
- The patient was initially treated for smear-negative tuberculosis.
- Hemoptysis in the context of TB treatment prompted further investigation.
- An aspergilloma was identified as the cause of hemoptysis.
Implications:
- Highlights the critical need for differential diagnosis in endemic TB regions.
- Emphasizes considering fungal ball (aspergilloma) in patients with hemoptysis.
- Suggests improved diagnostic strategies to avoid TB treatment for non-TB conditions.
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