Chest wall and mediastinal nodal aspergillosis in an immunocompetent host

Diagn Interv Radiol. 2009 Sep;15(3):176-8.

Abstract

Aspergillosis may complicate the course of a patient in an immunocompromised state. However, Aspergillus infection is rarely encountered in an immunocompetent host. We present an extremely rare case of Aspergillus chest wall involvement associated with extensive mediastinal lymphadenopathy in an immunocompetent host. A chest wall lesion was the initial indication of underlying nodal disease. We highlight the importance of obtaining early tissue samples in these cases to enable prompt treatment.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Amphotericin B / therapeutic use
  • Antifungal Agents / therapeutic use
  • Aspergillosis / diagnostic imaging*
  • Aspergillosis / drug therapy
  • Female
  • Humans
  • Image Enhancement
  • Immunocompetence
  • Itraconazole / therapeutic use
  • Lymph Nodes / diagnostic imaging*
  • Lymphatic Diseases / diagnostic imaging
  • Mediastinal Diseases / diagnostic imaging*
  • Mediastinal Diseases / microbiology
  • Radiography, Thoracic
  • Radionuclide Imaging
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Antifungal Agents
  • Itraconazole
  • Amphotericin B