Chronic cavitary pulmonary aspergillosis in an immunocompetent child

Adeyinka A Davies; Ireti A Adegbite; Patricia E Akintan; Usman O Ibrahim; Abiola O Adekoya; Rita O Oladele

doi:10.1016/j.mmcr.2022.07.001

Chronic cavitary pulmonary aspergillosis in an immunocompetent child

Med Mycol Case Rep. 2022 Jul 14:37:33-36. doi: 10.1016/j.mmcr.2022.07.001. eCollection 2022 Sep.

Authors

Adeyinka A Davies^{1

2}, Ireti A Adegbite³, Patricia E Akintan^{4

5}, Usman O Ibrahim⁵, Abiola O Adekoya⁶, Rita O Oladele^{1

3}

Affiliations

¹ Department of Medical Microbiology & Parasitology, College of Medicine, University of Lagos, Lagos, Nigeria.
² Department of Medical Microbiology & Parasitology, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria.
³ Department of Medical Microbiology & Parasitology, Lagos University Teaching Hospital, Lagos, Nigeria.
⁴ Department of Paediatrics, College of Medicine, University of Lagos, Lagos, Nigeria.
⁵ Department of Paediatrics, Lagos University Teaching Hospital, Lagos, Nigeria.
⁶ Department of Radiology, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria.

Abstract

Chronic pulmonary aspergillosis (CPA) is a progressive and destructive disease of the lung parenchyma. We report a 9-year-old boy diagnosed with CPA with a positive Aspergillus IgG and chest imaging of cavitary lung lesions. He was treated with oral Itraconazole with significant improvement. This shows that an index of suspicion should be heightened in the paediatric population with cavitary lung lesions because not all cavitary lung lesions are caused by Mycobacterium tuberculosis.

Keywords: Aspergillus IgG; Cavitary lung lesions; Chronic pulmonary aspergillosis; Mycobacterium tuberculosis.

Publication types

Case Reports