Chronic granulomatous ‘Aspergillus lung mass’

https://doi.org/10.4081/monaldi.2020.1371

Authors

  • Kavitha Venkatnarayan | kaviaiims@gmail.com Department of Pulmonary Medicine, St. John's National Academy of Health Sciences, Bengaluru, India. https://orcid.org/0000-0003-3648-5583
  • Uma Devaraj Department of Pulmonary Medicine, St. John's National Academy of Health Sciences, Bengaluru, India. https://orcid.org/0000-0002-1429-2660
  • Uma Maheswari Krishnaswamy Department of Pulmonary Medicine, St. John's National Academy of Health Sciences, Bengaluru, India. https://orcid.org/0000-0002-5144-4731
  • Priya Ramachandran Department of Pulmonary Medicine, St. John's National Academy of Health Sciences, Bengaluru, India. https://orcid.org/0000-0002-9530-5450
  • Sreekar Balasundaram Department of Cardiothoracic Surgery, St. John's National Academy of Health Sciences, Bengaluru, India. https://orcid.org/0000-0002-9175-8807
  • Anuradha Ananthamurthy Department of Pathology, St. John's National Academy of Health Sciences, Bengaluru, India.
  • Jayanthi Savio Department of Microbiology, St. John's National Academy of Health Sciences, Bengaluru, India.

Abstract

The diverse clinicopathological spectrum of pulmonary aspergillosis is a consequence of varying levels of invasiveness of this ubiquitous fungus, which largely depends on the host immune response and pre-existing lung disease. The clinical presentation of pulmonary aspergillosis spans a wide spectrum from hypersensitivity to life threatening angio-invasive and disseminated disease. We report the case of a young immunocompetent male with no underlying lung disease, who presented with an incidentally detected ‘infective mass’ lesion in the lung associated with minimal respiratory symptoms. The diagnostic challenges posed by the unusual clinical, radiological and histological picture as well as the therapeutic dilemmas faced are discussed in this report.

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Published
2020-09-07
Info
Issue
Section
Pneumology - Case Reports
Keywords:
Aspergillosis, lung lesion, lung resection
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How to Cite
Venkatnarayan, Kavitha, Uma Devaraj, Uma Maheswari Krishnaswamy, Priya Ramachandran, Sreekar Balasundaram, Anuradha Ananthamurthy, and Jayanthi Savio. 2020. “Chronic Granulomatous ‘Aspergillus Lung mass’”. Monaldi Archives for Chest Disease 90 (3). https://doi.org/10.4081/monaldi.2020.1371.

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