Pulmonary Aspergillosis following paranasal sinus Aspergillosis

N Abdalla, H Yagi


A 32 years old Sudanese female who is a known case of asthma, has a history of paranasal sinuses Aspergillosis which dated back to 1998. The causative organism was identified by culture as Aspergillums Flavus. She was
treated surgically coupled with antifungal (Itraconozole) oral therapy. She was normal until January 2011 when she started to complain of high-grade fever, right upper chest pain, cough, headache, and yellowish nasal
discharge. Plain chest x-ray and CT-scan chest revealed areas of heterogeneous consolidation with cavitations and air-fluid level in the right upper lobe of the lung. CT-scan of the paranasal sinuses showed no evidence
of recurrence. Bacterial sputum cultures, acid-fast smears and cultures were negative. Fungal sputum culture grew Aspergillums Terreus. A regimen of treatment which included empirical antibacterial and antifungal
(Itraconozole) plus chest physiotherapy was instituted. She showed gradual response .The fever subsided on the tenth day and after two months she was symptom free with normal chest x-ray and CT-scan.
*Corresponding author: Department of Otolaryngology (ENT), Faculty of Medicine, University of Khartoum, P.O. Box 102, Khartoum, Sudan.

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ISSN: 1858-5345