Abstract
We describe 2 cases of immunocompetent males with acute community-acquired invasive pulmonary aspergillosis developing shortly after spreading bark chippings. One patient with a fatal outcome was initially diagnosed as allergic alveolitis rather than infection and received steroid treatment illustrating the obvious challenges in the differential diagnosis between these disease entities.
MeSH terms
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Adult
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Amphotericin B / therapeutic use
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Antifungal Agents / therapeutic use
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Aspergillosis, Allergic Bronchopulmonary / diagnosis*
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Aspergillosis, Allergic Bronchopulmonary / microbiology*
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Aspergillosis, Allergic Bronchopulmonary / pathology
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Fatal Outcome
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Humans
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Immunocompetence*
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Itraconazole / therapeutic use
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Lung / pathology
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Male
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Middle Aged
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Plant Bark / microbiology*
Substances
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Antifungal Agents
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liposomal amphotericin B
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Itraconazole
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Amphotericin B