The Turkish Journal of Pediatrics 2014 , Vol 56 , Num 6
Chronic Necrotizing Pulmonary Aspergillosis in an Immunocompetent, Obese 10-Year-Old Boy
Departments of 1Pulmonology, 3Clinical Microbiology and 4Pediatric Pathology, Dr. Vukan Cupic Mother and Child Health Care Institute of Serbia, 6Institute of Microbiology and Immunology, 2University of Belgrade School of Medicine, Belgrade, Serbia, and 5Banjaluka University School of Medicine, Banjaluka, Bosnia and Herzegovina. E-mail: Chronic necrotizing pulmonary aspergillosis is a rare form of pulmonary aspergillosis. It is usually seen in middle-aged or elderly patients with underlying chronic lung disease or mild immunodeficiency, and has been only rarely encountered in children. Clinical presentation is variable and usually involves constitutional symptoms of several months’ duration as well as respiratory symptoms. We present a previously well, immunocompetent, obese 10-year-old boy with cough and mild hemoptysis lasting for a couple of days and a round pulmonary infiltrate on chest radiograph. Further diagnostic investigations revealed the histopathological features of chronic necrotizing pulmonary aspergillosis in excised lung tissue, and Aspergillus fumigatus was isolated in lung tissue culture. This is one of the youngest described patients with this semi-invasive form of aspergillosis. Keywords : aspergillosis, children, CNPA, obesity.
Copyright © 2016