title: [Aspergillus colonization of an echinococcal cyst cavity: case report].
abstract: Although lungs are common sites for the occurrence of saprophytic or invasive mycosis as well as hydatid cyst, aspergilloma within a hydatid cyst is a rare occurrence. A 36-year-old immunocompetent male presented with hemoptysis episodes of about 1 year duration. Chest X-ray revealed a smooth countered mass lesion located in the upper part of lower lobe of left lung. Surgical enucleation of the cyst wall was performed. Microscopic examination showed that the laminated membranes of hydatid cyst were invaded by septated fungal hyphea oriented with acute angles consistent with aspergillus. Herein, we report such a unique coexistence of hydatid cyst and aspergilloma, and emphasize possible complications depending on the immunostatus of the patient, if the aspergillus colonization is unnoticed in resected cystectomy material.
authors.affiliation: Dokuz Eylül Üniversitesi, Tıp Fakültesi, Patoloji, İzmir, Türkiye. duygu.gurel@deu.edu.tr
authors.forename: Duygu
authors.initials: D
authors.lastname: Gürel
authors.forename: Aydanur
authors.initials: A
authors.lastname: Kargi
authors.forename: Mehtat
authors.initials: M
authors.lastname: Unlü
authors.forename: Aydın
authors.initials: A
authors.lastname: Sanli
authors.forename: Erkan
authors.initials: E
authors.lastname: Yilmaz
mesh_terms: D000328:Adult; D001230:Aspergillus / Q000302:isolation & purification*; D001706:Biopsy; D004445:Echinococcosis, Pulmonary / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008297:Male; D055732:Pulmonary Aspergillosis / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery; D014057:Tomography, X-Ray Computed