Bhatnagar Tarun, Bhatnagar Anuj Kumar
Department of Pulmonary Medicine, Rajan Babu Institute of Pulmonary Medicine and Tuberculosis, New Delhi, India.
Lung India. 2014 Apr;31(2):155-7. doi: 10.4103/0970-2113.129851.
Pleural Aspergillosis is a rare entity, with most of the cases occurring on a background of lung disease or surgery. We report a case of a 16-year-old boy who developed pleural Aspergillosis in the absence of any obvious pre-disposing factors. Patient presented with fever, dry cough and left sided chest discomfort of 6 weeks duration. A chest radiograph revealed features of the left pyopneumothorax. Despite being started on presumptive antituberculous treatment and intercostal drainage his symptoms failed to resolve. The sputum and pus were then subjected to fungal smears and culture, which indicated growth of Aspergillus fumigatus. We report this case in view of the extreme rarity of pleural Aspergillosis occurring in a young healthy individual with no evidence of prior lung pathology. Furthermore, the source of infection was traced back to a very unusual possible focus - a decayed tooth infected with A. fumigatus, thus making the case even more interesting.
胸膜曲霉菌病是一种罕见疾病，大多数病例发生在肺部疾病或手术背景下。我们报告一例16岁男孩，在无任何明显易感因素的情况下发生了胸膜曲霉菌病。患者出现发热、干咳及左侧胸部不适6周。胸部X线片显示左侧脓气胸特征。尽管开始进行经验性抗结核治疗并进行了肋间引流，但其症状仍未缓解。随后对痰液和脓液进行真菌涂片及培养，结果显示烟曲霉菌生长。鉴于胸膜曲霉菌病在无既往肺部病变证据的年轻健康个体中极为罕见，我们报告了此病例。此外，感染源可追溯到一个非常不寻常的可能病灶——一颗感染烟曲霉菌的龋齿，从而使该病例更加引人关注。
