Related Experiment Video
Updated: Jul 1, 2025

Detection of Invasive Pulmonary Aspergillosis in Haematological Malignancy Patients by using Lateral-flow Technology
Published on: March 22, 2012
Disseminated Aspergillosis with Mediastinal Invasion Causing Fatal Stroke in an Immunocompetent Young Man
Robert Yarham1, Rudy Goh1,2,3, Eamon P Raith1,3
1Adelaide Medical School, Royal Adelaide Hospital, Adelaide, SA, Australia.
Introduction:
Aspergillus flavus is a common cause of aspergillosis.
Case Presentation:
A previously fit and well, immunocompetent 27-year-old male living in Australia developed disseminated A. flavus complex infection with mediastinal and cardiac invasion, superior vena cava obstruction and stroke, with fatal haemorrhagic transformation.
Conclusion:
Aspergillus Flavus is a rare but important cause of serious disease in the immunocompetent.
Insights
Aspergillus flavus can cause serious infections even in healthy individuals. This case highlights a fatal disseminated A. flavus infection in an immunocompetent Australian man, emphasizing its potential severity.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Cardiology
Background:
- Aspergillosis is typically associated with immunocompromised individuals.
- Aspergillus flavus is a common fungal species.
- Serious invasive disease in immunocompetent hosts is rare.
Observation:
- A previously healthy 27-year-old male in Australia presented with disseminated Aspergillus flavus infection.
- The infection involved the mediastinum and heart, causing superior vena cava obstruction.
- The patient experienced a stroke with fatal hemorrhagic transformation.
Findings:
- Disseminated Aspergillus flavus complex infection.
- Mediastinal and cardiac invasion by Aspergillus flavus.
- Superior vena cava obstruction and stroke secondary to fungal infection.
Implications:
- Aspergillus flavus can cause severe, life-threatening infections in immunocompetent individuals.
- This case underscores the importance of considering invasive aspergillosis in unexplained severe infections.
- Highlights the potential for Aspergillus flavus to cause disseminated disease with devastating outcomes.
Related Concept Videos
Pulmonary Tuberculosis I
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Immunodeficiency Diseases
There are three main causes of immunodeficiency...
Pneumonia I: Introduction
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...

