title: Chest wall and mediastinal nodal aspergillosis in an immunocompetent host.
abstract: Aspergillosis may complicate the course of a patient in an immunocompromised state. However, Aspergillus infection is rarely encountered in an immunocompetent host. We present an extremely rare case of Aspergillus chest wall involvement associated with extensive mediastinal lymphadenopathy in an immunocompetent host. A chest wall lesion was the initial indication of underlying nodal disease. We highlight the importance of obtaining early tissue samples in these cases to enable prompt treatment.
authors.affiliation: Department of Radiology, All India Institute of Medical Sciences, New Delhi, India. docaiims@gmail.com
authors.forename: Jyoti
authors.initials: J
authors.lastname: Kumar
authors.forename: Ashu
authors.initials: A
authors.lastname: Seith
authors.forename: Atin
authors.initials: A
authors.lastname: Kumar
authors.forename: Karan
authors.initials: K
authors.lastname: Madan
authors.forename: Randeep
authors.initials: R
authors.lastname: Guleria
mesh_terms: D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D001228:Aspergillosis / Q000000981:diagnostic imaging* / Q000188:drug therapy; D005260:Female; D006801:Humans; D007089:Image Enhancement; D007121:Immunocompetence; D017964:Itraconazole / Q000627:therapeutic use; D008198:Lymph Nodes / Q000000981:diagnostic imaging*; D008206:Lymphatic Diseases / Q000000981:diagnostic imaging; D008477:Mediastinal Diseases / Q000000981:diagnostic imaging* / Q000382:microbiology; D013902:Radiography, Thoracic; D011877:Radionuclide Imaging; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole; D000666:Amphotericin B