Chronic necrotizing pulmonary aspergillosis after SARS-Cov-2 infection – a case report

Authors

  • M. Alexieva Department of Pulmonary Diseases, UMHAT “Sv. Ivan Rilski”, Medical University – Sofia, Bulgaria Author
  • I. Serkedzhiev Department of Anesthesiology and Intensive Care Unit, UMHAT “Sv. Ivan Rilski”, Medical University – Sofia, Bulgaria Author
  • R. Cherneva Department of Anesthesiology and Intensive Care Unit, UMHAT “Sv. Ivan Rilski”, Medical University – Sofia, Bulgaria Author
  • S. Ivanova Department of Pathology, UMHAT “Sv. Iv. Rilski”, Medical University – Sofia, Bulgaria Author
  • G. Yankov Department of Pulmonary Diseases, UMHAT “Sv. Ivan Rilski”, Medical University – Sofia, Bulgaria Author

DOI:

https://doi.org/10.2478/AMB-2023-0031

Keywords:

chronic pulmonary aspergillosis, COVID-19, surgery

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-infl ammatory state in COVID-19 patients predisposes to Aspergillus infection and its chronifi cation. Surgery plays a pivotal role in cases with unclear diagnosis, ineff ective 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.

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Published

30.09.2023

How to Cite

Alexieva, M., Serkedzhiev, I., Cherneva, R., Ivanova, S., & Yankov, G. (2023). Chronic necrotizing pulmonary aspergillosis after SARS-Cov-2 infection – a case report . Acta Medica Bulgarica, 50(3), 57-61. https://doi.org/10.2478/AMB-2023-0031