title: Acute community acquired Aspergillus pneumonia in a presumed immunocompetent host.
abstract: Infection from Aspergillus results in a wide range of diseases from simple Aspergillus pneumonia to fatal invasive Aspergillosis. Though the fungus is known to predominantly affect the immunocompromised host, it has also been known to cause acute pneumonia in immunocompetent hosts which is invariably fatal. It presents as an acute pneumonia with bilateral chest infiltrates on radiograph. Early clinical suspicion and microbiological identification by measures such as broncho alveolar lavage and initiation of therapy with voricanozole significantly increase the chances of survival. In this article the authors discuss a case of acute community acquired Aspergillus pneumonia in an immunocompetent host who survived due to early identification and prompt treatment with appropriate antifungal medication.
authors.affiliation: Internal Medicine Department, Narayana Hrudayalaya Hospital, Bangalore, Karnataka, India.
authors.forename: Varun
authors.initials: V
authors.lastname: Sridhar
authors.forename: Natarajan
authors.initials: N
authors.lastname: Rajagopalan
authors.forename: C
authors.initials: C
authors.lastname: Shivaprasad
authors.forename: Mahantesh
authors.initials: M
authors.lastname: Patil
authors.forename: Jaicob
authors.initials: J
authors.lastname: Varghese
mesh_terms: D000935:Antifungal Agents / Q000627:therapeutic use; D018893:Bronchoalveolar Lavage; D017714:Community-Acquired Infections / Q000175:diagnosis* / Q000188:drug therapy; D003937:Diagnosis, Differential; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D006801:Humans; D011014:Pneumonia / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D016133:Polymerase Chain Reaction; D055732:Pulmonary Aspergillosis / Q000175:diagnosis* / Q000188:drug therapy; D013902:Radiography, Thoracic; D055815:Young Adult
chemical_list: D000935:Antifungal Agents