Coexistence of aspergilloma and pulmonary hydatid cyst in an immunocompetent individual

Echinococcosis is a zoonotic disease caused by Echinococcus granulosus sensu lato. The liver and lungs are the most commonly sites of infections, but involvements of other organs were also observed. Recently, the coinfection of pulmonary hydatid cyst with aspergilloma has been reported in the litera...

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Bibliographic Details
Published in:Journal de mycologie médicale 2017-09, Vol.27 (3), p.396-399
Main Authors: Aala, F., Badali, H., Hashemi Fesharaki, S., Boroumand, M., Sotoudeh Anvari, M., Davari, H., Agha Kuchak Afshari, S., Khodavaisy, S.
Format: Article
Language:English
Subjects:
Adult
Aspergilloma
Aspergillus flavus
Coexistence
Coinfection - diagnosis
Coinfection - microbiology
Echinococcosis, Pulmonary - complications
Echinococcosis, Pulmonary - diagnosis
Female
Humans
Hydatid cyst
Immunocompetence
Pulmonary Aspergillosis - complications
Pulmonary Aspergillosis - diagnosis
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Summary:Echinococcosis is a zoonotic disease caused by Echinococcus granulosus sensu lato. The liver and lungs are the most commonly sites of infections, but involvements of other organs were also observed. Recently, the coinfection of pulmonary hydatid cyst with aspergilloma has been reported in the literature. Herein, we report a successful treatment of coinfection of cystic echinoccosis with aspergilloma due to Aspergillus flavus in a 34-year-old female. In vitro antifungal susceptibility tests revealed that the MIC values for antifungals employed in this case were posaconazole (0.031μg/ml), itraconazole (0.125μg/ml), voriconazole (0.25μg/ml), and amphotericin B (1μg/ml). The minimum effective concentration for caspofungin was 0.008μg/ml. This coexistence of active pulmonary echinococcosis and aspergillosis is being reported because of its rarity and clinical importance for its management.
ISSN:1156-5233
1773-0449
DOI:10.1016/j.mycmed.2017.04.006