[Aspergillus niger responsible for a tracheo-oesophageal fistula in an immunocompetent patient].
Tracheal or bronchial aspergillar locations are rare. They are mainly found in patients with general or localised immune deficiency. The authors report the case of a 53-year-old Vietnamese immunocompetent patient without any factors of risk who suddenly came down with a perforation syndrome indicating a tracheo-oesophageal fistula. The bronchial samples helped identify Aspergillus niger as the agent incriminated. Surgical treatment associated with an antifungal treatment provided a cure without any recurrence for 3 years.
Tran
N T
NT
Hôpital Pham Ngoc Thach, 120, Hung Vuong, Ho Chi Minh Ville, Viet Nam. jphomasson@wanadoo.fr
Nguyen
T P
TP
Homasson
J P
JP
D000935:Antifungal Agents / Q000627:therapeutic use; D001234:Aspergillus niger / Q000302:isolation & purification*; D006801:Humans; D007121:Immunocompetence; D017964:Itraconazole / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D055732:Pulmonary Aspergillosis / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D014138:Tracheoesophageal Fistula / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D016896:Treatment Outcome
D000935:Antifungal Agents; D017964:Itraconazole