rss
BMJ Case Reports 2012; doi:10.1136/bcr.09.2011.4866
  • Unexpected outcome (positive or negative) including adverse drug reactions

Acute community acquired Aspergillus pneumonia in a presumed immunocompetent host

  1. Jaicob Varghese3
  1. 1Internal Medicine Department, Narayana Hrudayalaya Hospital, Bangalore, Karnataka, India
  2. 2Pulmonology and Critical Care Department, Narayana Hrudayalaya Hospital, Bangalore, Karnataka, India
  3. 3Critical Care Services Department, Narayana Hrudayalaya Hospital, Bangalore, India
  1. Correspondence to Natarajan Rajagopalan, gopanya{at}hotmail.com

Summary

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.

Footnotes

  • Competing interests None.

  • Patient consent Obtained.

Top rated cases

Top rated cases

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

 

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog