Simultaneous legionellosis and invasive aspergillosis in an immunocompetent patient newly treated with corticosteroids

Chest. 1993 Dec;104(6):1929-31. doi: 10.1378/chest.104.6.1929.

Abstract

Invasive pulmonary aspergillosis (IPA), although unusual, has been recognized in the immunocompetent host. Several cases of IPA with rapidly progressive respiratory failure have been reported in patients receiving short-term corticosteroid therapy for chronic obstructive pulmonary disease. Atypical pneumonia caused by dual infection with Legionella pneumophila and Mycoplasma pneumoniae has also been reported. We report an unusual case of simultaneous L pneumophila pneumonia and IPA in an asthma patient with suspected allergic bronchopulmonary aspergillosis newly treated with corticosteroids.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Cortex Hormones / adverse effects*
  • Adrenal Cortex Hormones / therapeutic use
  • Aged
  • Aspergillosis / complications*
  • Aspergillosis / diagnosis
  • Aspergillosis / immunology
  • Aspergillosis, Allergic Bronchopulmonary / complications
  • Aspergillosis, Allergic Bronchopulmonary / diagnosis
  • Aspergillosis, Allergic Bronchopulmonary / drug therapy
  • Humans
  • Immunocompetence*
  • Legionnaires' Disease / complications*
  • Legionnaires' Disease / diagnosis
  • Legionnaires' Disease / immunology
  • Lung Diseases, Fungal / complications*
  • Lung Diseases, Fungal / diagnosis
  • Lung Diseases, Fungal / immunology
  • Male

Substances

  • Adrenal Cortex Hormones