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VAPA strikes the patient again!
Rajeev Soman1, Sanraksha Mayya1, Sushrut Ganpule1
1Jupiter Hospital, Pune, 411045, India.
Abstract:
Viral associated pulmonary aspergillosis (VAPA) is increasingly being recognized by clinicians. However, the same patient developing VAPA after two separate viral respiratory illness appears to be rare. We describe a patient who developed influenza associated invasive aspergillosis (IAPA) which resolved completely with treatment. A second episode of VAPA developed after one year following human rhinovirus/enterovirus with a nodular infiltrate at a different location in the lungs as compared to earlier. Neither episode required ICU admission and both episodes were treated successfully.
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