Rapid Formation of Aspergillus mycetoma in a Patient Receiving Corticosteroid Treatment. Serial Radiographic Observation Over Two Months

Abstract

This study presents the case of rapidly progressing pulmonary aspergillosis in a 47-year-old

Cerebral Aspergillosis in a Patient with p-ANCA Vasculitis: Serial Imaging Observation over 15 Months

“…Aspergillosis is well known in a patient with perinuclear Antineutrophilic Cytoplasmic Antibody (p-ANCA)-associated vasculitis and pulmonary renal syndromes [1]. However, only a few cases have been reported in AN-CA-associated patients.…”

“…However, only a few cases have been reported in AN-CA-associated patients. Akimoto, et al reported a patient of ANCA-associated vasculitis with corticosteroid therapy who had massive recurrent hemoptysis due to pulmonary Aspergillus mycetoma [1]. A disseminated aspergillosis with invasion of the lungs, heart, and brain developed following resolution of pneumocystis pneumonia in a patient receiving long-term prednisolone therapy for Good-pasture syndrome with positive ANCA, an autoimmune disease that attacks the lungs and kidneys [2].…”

Association of pulmonary aspergilloma and allergic bronchopulmonary aspergillosis

“…The cavity can then be colonised by Aspergillus species to form an aspergilloma. In such cases aspergilloma formation is thought to be accelerated by corticosteroids [16].…”

Concurrent allergic bronchopulmonary aspergillosis and aspergilloma: is it a more severe form of the disease?

“…Rapid development of an aspergilloma within a 2-month period was reported in a 47-yr-old female who had cavitary disease for 7 yrs due to tuberculosis. This occurred after she was prescribed corticosteroids for pulmonary-renal syndrome due to systemic vasculitis [32].…”