Turkish Journal of Pathology

Türk Patoloji Dergisi

Turkish Journal of Pathology

Turkish Journal of Pathology

2011, Vol 27, Num, 3     (Pages: 263-265)

Aspergillus Colonization of an Echinococcal Cyst Cavity: Case Report

Duygu GÜREL 1, Aydanur KARGI 1, Mehtat ÜNLÜ 1, Aydın ŞANLI 2, Erkan YILMAZ 3

1 Dokuz Eylül Üniversitesi, Tıp Fakültesi, Patoloji, İZMİR, TÜRKİYE
2 Dokuz Eylül Üniversitesi, Tıp Fakültesi, Göğüs Cerrahisi, İZMİR, TÜRKİYE
3 Dokuz Eylül Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, İZMİR, TÜRKİYE

DOI: 10.5146/tjpath.2011.01087
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Although lungs are common sites for the occurrence of saprophytic or invasive mycosis as well as hydatid cyst, aspergilloma within a hydatid cyst is a rare occurrence.

A 36-year-old immunocompetent male presented with hemoptysis episodes of about 1 year duration. Chest X-ray revealed a smooth countered mass lesion located in the upper part of lower lobe of left lung. Surgical enucleation of the cyst wall was performed. Microscopic examination showed that the laminated membranes of hydatid cyst were invaded by septated fungal hyphea oriented with acute angles consistent with aspergillus.

Herein, we report such a unique coexistence of hydatid cyst and aspergilloma, and emphasize possible complications depending on the immunostatus of the patient, if the aspergillus colonization is unnoticed in resected cystectomy material.

Keywords : Aspergillus, Lung, Hydatid cyst