Abstract
Chronic necrotizing or semi-invasive aspergillosis represents a disease commonly occurred in patients with mild immunodeficiency. We report a case of chronic necrotizing pulmonary aspergillosis in immunocompetent patient without underlying disease. The discovery of the disease was made accidentally, by finding a nodular opacity on a routine chest X-ray. The diagnostic was confirmed by pathological and bacteriological examination. With specific antifungal treatment, no complete eradication was obtained and the patient has a slow evolution with many relapses.
MeSH terms
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Adult
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Antifungal Agents / therapeutic use*
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Caspofungin
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Diagnosis, Differential
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Drug Therapy, Combination
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Echinocandins / therapeutic use
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Female
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Humans
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Immunocompetence*
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Incidental Findings*
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Invasive Pulmonary Aspergillosis / diagnostic imaging*
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Invasive Pulmonary Aspergillosis / drug therapy
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Invasive Pulmonary Aspergillosis / pathology*
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Invasive Pulmonary Aspergillosis / surgery
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Itraconazole / therapeutic use
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Lipopeptides
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Prognosis
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Pyrimidines / therapeutic use
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Radiography
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Rare Diseases
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Recurrence
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Thoracic Surgery, Video-Assisted
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Time Factors
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Treatment Outcome
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Triazoles / therapeutic use
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Voriconazole
Substances
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Antifungal Agents
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Echinocandins
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Lipopeptides
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Pyrimidines
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Triazoles
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Itraconazole
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Caspofungin
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Voriconazole