Acute pulmonary aspergillosis in immunocompetent subjects after exposure to bark chippings

Scand J Infect Dis. 2006;38(10):945-9. doi: 10.1080/00365540600606580.

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Amphotericin B / therapeutic use
  • Antifungal Agents / therapeutic use
  • Aspergillosis, Allergic Bronchopulmonary / diagnosis*
  • Aspergillosis, Allergic Bronchopulmonary / microbiology*
  • Aspergillosis, Allergic Bronchopulmonary / pathology
  • Fatal Outcome
  • Humans
  • Immunocompetence*
  • Itraconazole / therapeutic use
  • Lung / pathology
  • Male
  • Middle Aged
  • Plant Bark / microbiology*

Substances

  • Antifungal Agents
  • liposomal amphotericin B
  • Itraconazole
  • Amphotericin B