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Chronic necrotizing pulmonary aspergillosis presenting as transient migratory thoracic mass: A diagnostic dilemma

Dicle Kaymaz1, Pınar Ergün1, İpek Candemir1

  • 1Division of Chronic Respiratory Failure Clinic, Ataturk Chest Disease and Chest Surgery Training and Research Hospital, Ankara, Turkey.

Respiratory Medicine Case Reports
|October 19, 2016
PubMed

Insights

Chronic necrotizing pulmonary aspergillosis (CNPA) is a rare lung infection. This case study highlights a unique presentation of CNPA in an elderly woman as a transient, migratory thoracic mass on imaging.

Area of Science:

  • Pulmonology
  • Infectious Diseases
  • Radiology

Background:

  • Chronic necrotizing pulmonary aspergillosis (CNPA) is an uncommon manifestation of Aspergillus infection in the lungs.
  • Radiological findings in CNPA are known for their heterogeneity, posing diagnostic challenges.

Observation:

  • A 71-year-old female patient with mild immunosuppression was evaluated.
  • The patient presented with a clinical history suggestive of a thoracic abnormality.

Findings:

  • The diagnosis of chronic necrotizing pulmonary aspergillosis was established.
  • Imaging revealed a transient migratory thoracic mass, an atypical presentation for CNPA.

Implications:

  • This case underscores the diverse and sometimes unusual radiological presentations of CNPA.
  • Recognizing such atypical findings is crucial for timely diagnosis and management of pulmonary aspergillosis.
  • Highlights the importance of considering rare fungal infections in the differential diagnosis of pulmonary masses.

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