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Aspergillosis: An Unwanted Tenant of Lung Cavity in an Immunocompromised Host
Anuradha Sakhuja1, Dhan B Shrestha1, Anurag Adhikari2
1Department of Internal Medicine, Mount Sinai Hospital, Chicago, USA.
Abstract:
Immunocompromised status predisposes an individual to infection from bacteria, fungi, and viruses that are otherwise uncommon. The presence of carcinoma and the use of chemotherapy weakens one's immune system and leads to opportunistic infections of many kinds. Aspergilloma is a fungal ball that grows inside a primary cavitary lesion within the pulmonary parenchyma. Generally, immunocompromised individuals have severe and invasive infections from Aspergillus. Here, we present a case report of a female with breast carcinoma undergoing chemotherapy who previously had a lung abscess with Klebsiella. During her subsequent presentation, she was detected to have aspergilloma along with multi-drug-resistant organisms in the lung abscess along with metastasis of breast carcinoma and lung squamous cell carcinoma encapsulating the fungal ball.
Insights
Immunocompromised patients with breast carcinoma undergoing chemotherapy developed invasive aspergilloma. This fungal infection co-occurred with multi-drug-resistant bacteria and metastatic lung cancer.
Area of Science:
- Medical Mycology
- Oncology
- Infectious Diseases
Background:
- Immunocompromised individuals are susceptible to opportunistic infections.
- Cancer patients undergoing chemotherapy face increased risks.
- Aspergilloma is a fungal infection typically seen in immunocompromised hosts.
Observation:
- A female breast carcinoma patient on chemotherapy presented with a lung abscess.
- The patient had a history of lung abscess caused by Klebsiella.
- Subsequent evaluation revealed aspergilloma within the lung abscess.
Findings:
- The aspergilloma was associated with multi-drug-resistant organisms.
- Metastatic breast carcinoma and lung squamous cell carcinoma were found encapsulating the fungal ball.
- This case highlights a complex interplay of fungal, bacterial, and neoplastic processes.
Implications:
- This case underscores the critical need for vigilant monitoring of opportunistic infections in immunocompromised cancer patients.
- Early diagnosis and management are crucial for improving outcomes in such complex cases.
- Understanding the co-occurrence of fungal infections, resistant bacteria, and cancer metastasis is vital for treatment strategies.
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