Abstract:
RATIONALE:Aspergillus and Cryptococcus exposure can cause serious secondary infections in human lungs, especially in immunocompromised patients or in conjunction with a chronic disease caused by low disease resistance. Primary invasive fungal infections are clinically rare; therefore, coexistence of 2 fungi at an infection site is uncommon. This paper reports a case of healthy male who was diagnosed with both Cryptococcus neoformans and Aspergillus infections. PATIENT CONCERNS:A healthy 33-year-old male office worker was admitted to the Second Hospital of Jilin University for hemoptysis. A chest computed tomography (CT) scan showed a cavity, which was formed by the thick dorsal wall of the lower left lobe with an irregular inner wall and burr changes around the lesion. INTERVENTION:After 1.0 week of antibiotic and antituberculosis treatment, the hemoptysis symptoms remained. A resection of the left lower lobe was performed. DIAGNOSES:The postoperative pathological reports indicated the presence of both Aspergillus and Cryptococcus. The 2 fungal lesions were separate but within the same location. OUTCOMES:After treatment, the patient no longer had hemoptysis. LESSONS:The current study indicated that fungi can infect not only immunocompromised patients but also healthy people, and that there can be 2 separate fungal infections at the same infection site.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Wang Q,Wang Z,Hao Y,Li W,Xin T,Chen M,Gao Pdoi
10.1097/MD.0000000000012612subject
Has Abstractpub_date
2018-09-01 00:00:00pages
e12612issue
39eissn
0025-7974issn
1536-5964pii
00005792-201809280-00102journal_volume
97pub_type
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