Colonization of an intralobar pulmonary sequestration by Aspergillus.
Aspergillus is an opportunistic fungus that usually colonizes preexisting lung cavities, especially tuberculous ones. Colonization of a pulmonary sequestration by this germ is exceptional, with just 14 cases reported in the world literature, most of them in Asia. A case is presented of a 48-year-old woman with pleuritic thoracic pain. Simple chest radiology revealed a lower right pulmonary tumor with clear margins and a calcium-type density. CT showed it to correspond to a 6 x 5-cm hypodense mass, which was enhanced at the periphery with intravenous contrast. Aspiration puncture yielded a greenish-yellow pus and the microscopic study strongly suggested Aspergillus, confirmed by culture as Aspergillus fumigatus. Surgery revealed an infected pulmonary sequestration at the lower right lobe, and a lobectomy was performed.
Zambudio
Ríos A
RA
Department of Surgery, Virgen de la Arrixaca University Hospital, 30120 EI Palmar, Murcia, Spain. ARZRIOS@teleline.es
Calvo
Roca M J
RM
García
Polo L A
PL
Lanzas
J Torres
JT
Paricio
P Panilla
PP
D001232:Aspergillus fumigatus / Q000302:isolation & purification; D001998:Bronchopulmonary Sequestration / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D005260:Female; D006801:Humans; D008172:Lung Diseases, Fungal / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D008875:Middle Aged; D011856:Radiographic Image Enhancement; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed