Abstract
Pulmonary aspergilloma is a rare disease, usually presenting as secondary invasion of preexisting lung cavity. When a pre-existing lung cavity is colonized by Aspergillus fumigatus it forms a fungal ball (Pulmonary aspergiloma). Presenting symptoms is usually cough, haemoptysis that may be life threatening. The radiological findings are that of a ball like structure within preexisting lung cavity on plain radiography and computerized tomography of the chest. We report a case of aspergilloma in a 70 year old man with past history of tuberculosis presented with the complaint of occasional cough, respiratory distress and occasional low grade fever for two years. It was diagnosed radiologically and confirmed by fine needle aspiration cytology and treated successfully with oral Itraconazole. Key words: Aspergilloma, Pulmonary tuberculosis, Itraconazole doi: 10.3329/jom.v10i2.2836 J MEDICINE 2009; 10 : 149-151
Highlights
The fungus Aspergillus fumigatus very rarely gives rise to human infection.[1]
The most common preceding lung lesion is an open-healed tuberculous cavity.[2]. This disease is commonly seen in immunocompromised hosts such as patients with acquired immunodeficiency, cystic fibrosis, diabetes mellitus, neutropenia, bone marrow or organ transplantation.[2,3]
Case Report: A 70 years old, normotensive, smoker gentleman attended to us with the complaints of occasional cough with respiratory distress and occasional low grade fever for last 2 years. He had left sided chest pain for last 2 months. He gave history of pulmonary tuberculosis about 12 years back, which was treated with 6 months regimen of anti tubercular drugs
Summary
The fungus Aspergillus fumigatus very rarely gives rise to human infection.[1]. Pulmonary aspergilloma is a rare disease, usually presenting as secondary saprophytic infection of preexisting cavities in the lung.[1,2] The most common preceding lung lesion is an open-healed tuberculous cavity.[2]. Introduction: The fungus Aspergillus fumigatus very rarely gives rise to human infection.[1] Pulmonary aspergilloma is a rare disease, usually presenting as secondary saprophytic infection of preexisting cavities in the lung.[1,2] The most common preceding lung lesion is an open-healed tuberculous cavity.[2] This disease is commonly seen in immunocompromised hosts such as patients with acquired immunodeficiency, cystic fibrosis, diabetes mellitus, neutropenia, bone marrow or organ transplantation.[2,3]
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