Chronic Necrotizing Pulmonary Aspergillosis After SARS-CoV-2 Infection – A Case Report

Author:

Alexieva M.1,Serkedzhiev I.2,Cherneva R.2,Ivanova S.3,Yankov G.1

Affiliation:

1. Department of Pulmonary Diseases , UMHAT “Sv. Ivan Rilski”, Medical University – Sofia , Bulgaria

2. Department of Anesthesiology and Intensive Care Unit , UMHAT “Sv. Ivan Rilski”, Medical University – Sofia , Bulgaria

3. Department of Pathology , UMHAT “Sv. Iv. Rilski”, Medical University – Sofia , Bulgaria

Abstract

Abstract Aspergillosis is a fungal infection, caused by the mould Aspergillus, most commonly Aspergillus fumigatus species. Chronic pulmonary aspergillosis after SARS Cov-2 infection is a rare presentation that is commonly misdiagnosed. The prolonged corticosteroid and antibiotic application and the pro-inflammatory state in COVID-19 patients predisposes to Aspergillus infection and its chronification. Surgery plays a pivotal role in cases with unclear diagnosis, ineffective medical therapy or when complications develop. We present a case of a 73-year-old woman with chronic pulmonary aspergillosis, developed after COVID-19 pneumonia. A right lateral muscle-sparing thoracotomy, right upper lobectomy and atypical resection of the 9th and 10th segments were performed.

Publisher

Walter de Gruyter GmbH

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