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Coexistence of Aspergilloma and Pulmonary Hydatid Cyst in an Immunocompetent Individual Publisher Pubmed



Aala F1 ; Badali H2 ; Hashemi Fesharaki S2, 3 ; Boroumand M3 ; Sotoudeh Anvari M3 ; Davari H4 ; Agha Kuchak Afshari S5 ; Khodavaisy S5
Authors
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Authors Affiliations
  1. 1. Department of Medical Mycology and Parasitology, School of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran
  2. 2. Department of Medical Mycology and Parasitology, Invasive Fungi Research Center (IFRC), School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
  3. 3. Department of Pathology and Laboratory Medicine, Tehran Heart Center, Tehran University of Medical Science, Tehran, Iran
  4. 4. General Thoracic Surgeon, Tehran Heart Center, Tehran University of Medical Science, Tehran, Iran
  5. 5. Department of Medical Mycology and Parasitology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

Source: Journal de Mycologie Medicale Published:2017


Abstract

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 (0.031 μg/ml), itraconazole (0.125 μg/ml), voriconazole (0.25 μg/ml), and amphotericin B (1 μg/ml). The minimum effective concentration for caspofungin was 0.008 μg/ml. This coexistence of active pulmonary echinococcosis and aspergillosis is being reported because of its rarity and clinical importance for its management. © 2017 Elsevier Masson SAS
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