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Colonization of an Intralobar Pulmonary Sequestration by Aspergillus

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Abstract

Aspergillus is an opportunistic fungus that usually colonizes preexisting lung cavities, especially tuberculous ones. Colonization of a pulmonary sequestration by this germ is exceptional, with just 14 cases reported in the world literature, most of them in Asia. A case is presented of a 48-year-old woman with pleuritic thoracic pain. Simple chest radiology revealed a lower right pulmonary tumor with clear margins and a calcium-type density. CT showed it to correspond to a 6 × 5-cm hypodense mass, which was enhanced at the periphery with intravenous contrast. Aspiration puncture yielded a greenish-yellow pus and the microscopic study strongly suggested Aspergillus, confirmed by culture as Aspergillus fumigatus. Surgery revealed an infected pulmonary sequestration at the lower right lobe, and a lobectomy was performed.

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Authors and Affiliations

  1. Department of Surgery, Virgen de la Arrixaca University Hospital, 30120 EI Palmar, Murcia, Spain

    Ríos A. Zambudio, Roca M. J. Calvo, Polo L. A. García, Torres J. Lanzas & Panilla P. Paricio

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  1. Ríos A. Zambudio
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  2. Roca M. J. Calvo
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  3. Polo L. A. García
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  4. Torres J. Lanzas
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  5. Panilla P. Paricio
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Correspondence to Ríos A. Zambudio.

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Zambudio, R.A., Calvo, R.M., García, P.L. et al. Colonization of an Intralobar Pulmonary Sequestration by Aspergillus . Lung 181, 303–307 (2003). https://doi.org/10.1007/s00408-003-1020-3

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  • DOI: https://doi.org/10.1007/s00408-003-1020-3

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