Cargando…
Mycologically confirmed chronic pulmonary aspergillosis in a post-pulmonary tuberculosis patient in Ghana
Pulmonary tuberculosis (PTB) remains a major public health challenge in low- and middle-income countries. PTB may leave residual cavitation following treatment in some patients, allowing saprophytic colonization by Aspergillus species, resulting in a slow, progressive lung condition known as chronic...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Ghana Medical Association
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10416292/ https://www.ncbi.nlm.nih.gov/pubmed/37575628 http://dx.doi.org/10.4314/gmj.v56i4.13 |
_version_ | 1785087741088759808 |
---|---|
author | Ocansey, Bright K Adjei, Abraham Denning, David W |
author_facet | Ocansey, Bright K Adjei, Abraham Denning, David W |
author_sort | Ocansey, Bright K |
collection | PubMed |
description | Pulmonary tuberculosis (PTB) remains a major public health challenge in low- and middle-income countries. PTB may leave residual cavitation following treatment in some patients, allowing saprophytic colonization by Aspergillus species, resulting in a slow, progressive lung condition known as chronic pulmonary aspergillosis (CPA). PTB is the commonest underlying condition in CPA, mainly post-treatment. CPA is likely to be misdiagnosed as PTB reactivation due to clinical and radiological similarities. Ghana has a significant PTB burden, but only one case of clinically and radiologically diagnosed CPA has been reported, and epidemiological studies are also lacking. The definitive diagnosis of CPA comprises symptomatology, imaging findings and mycological evidence. Mycological evidence is critical to rule out other differential diagnoses, including non-Aspergillus pulmonary fungal infections and has implications for treatment choice. Herein, we present a case of mycologically-confirmed CPA in a previously treated PTB patient. FUNDING: Fungal laboratory testing was provided by a CARIGEST SA studentship and research award to BKO and DWD respectively. |
format | Online Article Text |
id | pubmed-10416292 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Ghana Medical Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-104162922023-08-12 Mycologically confirmed chronic pulmonary aspergillosis in a post-pulmonary tuberculosis patient in Ghana Ocansey, Bright K Adjei, Abraham Denning, David W Ghana Med J Case Report Pulmonary tuberculosis (PTB) remains a major public health challenge in low- and middle-income countries. PTB may leave residual cavitation following treatment in some patients, allowing saprophytic colonization by Aspergillus species, resulting in a slow, progressive lung condition known as chronic pulmonary aspergillosis (CPA). PTB is the commonest underlying condition in CPA, mainly post-treatment. CPA is likely to be misdiagnosed as PTB reactivation due to clinical and radiological similarities. Ghana has a significant PTB burden, but only one case of clinically and radiologically diagnosed CPA has been reported, and epidemiological studies are also lacking. The definitive diagnosis of CPA comprises symptomatology, imaging findings and mycological evidence. Mycological evidence is critical to rule out other differential diagnoses, including non-Aspergillus pulmonary fungal infections and has implications for treatment choice. Herein, we present a case of mycologically-confirmed CPA in a previously treated PTB patient. FUNDING: Fungal laboratory testing was provided by a CARIGEST SA studentship and research award to BKO and DWD respectively. Ghana Medical Association 2022-12 /pmc/articles/PMC10416292/ /pubmed/37575628 http://dx.doi.org/10.4314/gmj.v56i4.13 Text en Copyright © The Author(s). https://creativecommons.org/licenses/by/4.0/This is an Open Access article under the CC BY license. |
spellingShingle | Case Report Ocansey, Bright K Adjei, Abraham Denning, David W Mycologically confirmed chronic pulmonary aspergillosis in a post-pulmonary tuberculosis patient in Ghana |
title | Mycologically confirmed chronic pulmonary aspergillosis in a post-pulmonary tuberculosis patient in Ghana |
title_full | Mycologically confirmed chronic pulmonary aspergillosis in a post-pulmonary tuberculosis patient in Ghana |
title_fullStr | Mycologically confirmed chronic pulmonary aspergillosis in a post-pulmonary tuberculosis patient in Ghana |
title_full_unstemmed | Mycologically confirmed chronic pulmonary aspergillosis in a post-pulmonary tuberculosis patient in Ghana |
title_short | Mycologically confirmed chronic pulmonary aspergillosis in a post-pulmonary tuberculosis patient in Ghana |
title_sort | mycologically confirmed chronic pulmonary aspergillosis in a post-pulmonary tuberculosis patient in ghana |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10416292/ https://www.ncbi.nlm.nih.gov/pubmed/37575628 http://dx.doi.org/10.4314/gmj.v56i4.13 |
work_keys_str_mv | AT ocanseybrightk mycologicallyconfirmedchronicpulmonaryaspergillosisinapostpulmonarytuberculosispatientinghana AT adjeiabraham mycologicallyconfirmedchronicpulmonaryaspergillosisinapostpulmonarytuberculosispatientinghana AT denningdavidw mycologicallyconfirmedchronicpulmonaryaspergillosisinapostpulmonarytuberculosispatientinghana |