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2011, Volume 27, Number 3, Page(s) 263-265     
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DOI: 10.5146/tjpath.2011.01087
Aspergillus Colonization of an Echinococcal Cyst Cavity: Case Report
Duygu GÜREL1, Aydanur KARGI1, Mehtat ÜNLÜ1, Aydın ŞANLI2, Erkan YILMAZ3
1Dokuz Eylül Üniversitesi, Tıp Fakültesi, Patoloji, İZMİR, TÜRKİYE
2Dokuz Eylül Üniversitesi, Tıp Fakültesi, Göğüs Cerrahisi, İZMİR, TÜRKİYE
3Dokuz Eylül Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, İZMİR, TÜRKİYE
Keywords: Aspergillus, Lung, Hydatid cyst

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.

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