Critical Care and Shock

Invasive pulmonary aspergillosis in an immunocompetent host

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Invasive pulmonary aspergillosis (IPA) is a rare opportunistic mycosis with a usually fatal ending if misdiagnosed or untreated. Environmental exposure to species of the Aspergillus genus is almost never an issue for immunocompetent hosts and no disease will develop from it, however, when a patient’s immune system is impaired, the fungus will be able to invade the host’s system and the invasive mycosis will ensue. We report a patient with no important past medical history, chronic infections requiring prolonged antibiotic therapy or steroid dependent diseases, that presented to our facility to be treated for chronic sphenoid sinusitis secondary to Aspergillus fumigatus, and was later on found to have IPA.

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