An unusual presentation of pulmonary aspergilloma and review of available literature

A. Midiri, C. Malatino, C. Biondo, S. Zummo, G. Mancuso

Department of Human Pathology, University of Messina, Messina, Italy. mancusog@unime.it

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• Microbiology
• Respiratory Medicine

INTRODUCTION: Aspergilloma is a non-invasive form of pulmonary aspergillosis usually presenting as a clump of mold in pre-existing cavitary lung disease. Aspergillus related lung diseases have been classified into four types, whose manifestation is often related to previous lung diseases and host immunologic status.

CASE REPORT: Cases of cavitary pulmonary aspergillosis without any evidence of pre-existing cavities, are rarely reported. We present here a case of pulmonary aspergillosis in which cavity formation appeared apparently after the establishment of infection.

CONCLUSIONS: The occurrence of atypical presentations and the importance of recognizing these unusual cases of pulmonary aspergilloma is discussed.

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