Microbiological and immunological characteristics of a lethal pulmonary Aspergillus niger infection in a non-neutropenic patient

Invasive pulmonary aspergillosis is increasingly described in non-neutropenic patients, such as patients with COPD receiving corticosteroids and the critically ill. Here, we present a case of a lethal pulmonary Aspergillus niger infection in a COPD patient. Immunological tests showed an impaired inn...

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Main Authors: Jessica D. Workum, Suzanne W. de Jong, Mark S. Gresnigt, Katharina L. Becker, Peter Pickkers, Frank L. van de Veerdonk, Yvonne F. Heijdra, Eva Kolwijck
Format: Article
Language:English
Published: Elsevier 2018-09-01
Series:Medical Mycology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2211753918300204
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spelling doaj-11fef4f97cef4e9ba80fdc478b1332c12020-11-25T02:59:46ZengElsevierMedical Mycology Case Reports2211-75392018-09-012147Microbiological and immunological characteristics of a lethal pulmonary Aspergillus niger infection in a non-neutropenic patientJessica D. Workum0Suzanne W. de Jong1Mark S. Gresnigt2Katharina L. Becker3Peter Pickkers4Frank L. van de Veerdonk5Yvonne F. Heijdra6Eva Kolwijck7Department of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands; Department of Intensive Care Medicine, Radboud University Medical Center, Nijmegen, The NetherlandsDepartment of Pulmonology, Radboud University Medical Center, Nijmegen, The NetherlandsDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, The NetherlandsDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, The NetherlandsDepartment of Intensive Care Medicine, Radboud University Medical Center, Nijmegen, The NetherlandsDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, The NetherlandsDepartment of Pulmonology, Radboud University Medical Center, Nijmegen, The NetherlandsDepartment of Medical Microbiology, Radboud University Medical Center, Nijmegen, The Netherlands; Corresponding author.Invasive pulmonary aspergillosis is increasingly described in non-neutropenic patients, such as patients with COPD receiving corticosteroids and the critically ill. Here, we present a case of a lethal pulmonary Aspergillus niger infection in a COPD patient. Immunological tests showed an impaired innate and adaptive immune response to Aspergillus. A history of COPD, unresponsiveness to antibiotics and especially a suggestive CT-scan should trigger the clinician to consider diseases caused by Aspergillus. Keywords: Invasive pulmonary aspergillosis, Aspergillus niger, Immune system, Intensive care unit, Oxalate crystalhttp://www.sciencedirect.com/science/article/pii/S2211753918300204
collection DOAJ
language English
format Article
sources DOAJ
author Jessica D. Workum
Suzanne W. de Jong
Mark S. Gresnigt
Katharina L. Becker
Peter Pickkers
Frank L. van de Veerdonk
Yvonne F. Heijdra
Eva Kolwijck
spellingShingle Jessica D. Workum
Suzanne W. de Jong
Mark S. Gresnigt
Katharina L. Becker
Peter Pickkers
Frank L. van de Veerdonk
Yvonne F. Heijdra
Eva Kolwijck
Microbiological and immunological characteristics of a lethal pulmonary Aspergillus niger infection in a non-neutropenic patient
Medical Mycology Case Reports
author_facet Jessica D. Workum
Suzanne W. de Jong
Mark S. Gresnigt
Katharina L. Becker
Peter Pickkers
Frank L. van de Veerdonk
Yvonne F. Heijdra
Eva Kolwijck
author_sort Jessica D. Workum
title Microbiological and immunological characteristics of a lethal pulmonary Aspergillus niger infection in a non-neutropenic patient
title_short Microbiological and immunological characteristics of a lethal pulmonary Aspergillus niger infection in a non-neutropenic patient
title_full Microbiological and immunological characteristics of a lethal pulmonary Aspergillus niger infection in a non-neutropenic patient
title_fullStr Microbiological and immunological characteristics of a lethal pulmonary Aspergillus niger infection in a non-neutropenic patient
title_full_unstemmed Microbiological and immunological characteristics of a lethal pulmonary Aspergillus niger infection in a non-neutropenic patient
title_sort microbiological and immunological characteristics of a lethal pulmonary aspergillus niger infection in a non-neutropenic patient
publisher Elsevier
series Medical Mycology Case Reports
issn 2211-7539
publishDate 2018-09-01
description Invasive pulmonary aspergillosis is increasingly described in non-neutropenic patients, such as patients with COPD receiving corticosteroids and the critically ill. Here, we present a case of a lethal pulmonary Aspergillus niger infection in a COPD patient. Immunological tests showed an impaired innate and adaptive immune response to Aspergillus. A history of COPD, unresponsiveness to antibiotics and especially a suggestive CT-scan should trigger the clinician to consider diseases caused by Aspergillus. Keywords: Invasive pulmonary aspergillosis, Aspergillus niger, Immune system, Intensive care unit, Oxalate crystal
url http://www.sciencedirect.com/science/article/pii/S2211753918300204
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