Chronic necrotizing pulmonary aspergillosis caused by Aspergillus niger
Arévalo, M.; Solera, J.; Rodríguez, F.; Vizcaya, M.; Vercher, R.; Martínez-Moratalla, J.
Medicina Clinica 97(16): 620-622
1991
ISSN/ISBN: 0025-7753 PMID: 1766284 Document Number: 378864
Chronic necrotizing pulmonary aspergillosis (CNPA), also known as semi-invasive pulmonary aspergillosis , is a recently defined entity. CNPA is characterized by a pulmonary infiltration with cavitation of chronic evolution in patients with chronic pulmonary disease, slight immunodeficiency or healthy patients. Good evolution is obtained with antimicotic treatment. The isolation of Aspergillus niger as a cause of CNPA is infrequent and may bear worse prognosis. A patient who presented CNPA by Aspergillus niger is described. The patient had received radiotherapy for epidermal carcinoma of the esophagus. Three other cases have been reported in the literature. The diagnostic aspects, treatment and prognostic factors of CNPA are commented upon.