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Case Reports in Medicine
Volume 2016, Article ID 2416452, 4 pages
http://dx.doi.org/10.1155/2016/2416452
Case Report

Simultaneous Chronic Invasive Fungal Infection and Tracheal Fungus Ball Mimicking Cancer in an Immunocompetent Patient

1Yedikule Chest Diseases and Chest Surgery Education and Research Hospital, 34020 Istanbul, Turkey
2Chest Diseases, Karabük University School of Medicine, 78200 Karabük, Turkey
3Internal Medicine, İstanbul Medipol University School of Medicine, 34083 Istanbul, Turkey
4Merzifon Kara Mustafa Paşa State Hospital, 05300 Amasya, Turkey
5Pulmonary and Critical Care, University of Minnesota, Minneapolis, MN 55455, USA

Received 20 March 2016; Revised 14 May 2016; Accepted 7 June 2016

Academic Editor: Jacques F. Meis

Copyright © 2016 Erdoğan Çetinkaya et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Fungal infections of the lung are uncommon and mainly affect people with immune deficiency. There are crucial problems in the diagnosis and treatment of this condition. Invasive pulmonary aspergillosis and candidiasis are the most common opportunistic fungal infections. Aspergillus species (spp.) are saprophytes molds that exist in nature as spores and rarely cause disease in immunocompetent individuals. In patients with immune deficiency or chronic lung disease, such as cavitary lung disease or bronchiectasis, Aspergillus may cause a variety of aspergillosis infections. Here we present a case of a 57-year-old patient without immunodeficiency or chronic lung disease who was diagnosed with endotracheal fungus ball and chronic fungal infection, possibly due to Aspergillus. Bronchoscopic examination showed a paralyzed right vocal cord and vegetating mass that was yellow in color, at the posterior wall of tracheal lumen. After 3 months, both the parenchymal and tracheal lesions were completely resolved.