Pulmonary Aspergilloma in Patient with Anorexia Nervosa: Case Report

Abstract

A 31-year old female with anorexia nervosa was referred to the Department of General Surgical Science at Gunma University for a surgical resection of a pulmonary aspergilloma. The patient had received treatment for anorexia nervosa at the Department of Psychiatry of the Hospital of Gunma University Graduate School of Medicine. A chest radiograph showed an infiltrative shadow with apical pleural thickening in the left upper lung field. A contrast enhanced computed tomography showed an irregular mass shadow with cavity formation that involved spherical clusters in the left upper lobe. The patient was diagnosed with pulmonary aspergilloma by serological studies and radiological features. A pulmonary segmentectomy of the left apical segment (S1 + 2) through a lateral thoracotomy was successfully performed. She had an uneventful postoperative recovery, and the final histopathological examination confirmed the diagnosis of pulmonary aspergilloma. This is a rare case study of a young female patient with anorexia nervosa who developed pulmonary aspergilloma.

Video‐assisted thoracic surgery for a case of chronic progressive pulmonary aspergillosis undergoing haemodialysis complicated by anorexia nervosa: a case report

“…These findings suggest that this present case may be susceptible to Aspergillus infection. As far as the retrieval is concerned, there were only four reports regarding pulmonary aspergillosis in AN patients, and three of these were operative cases [17][18][19][20]. The main differences between the other three cases and our case are as follows; (1) all other cases had SPA while our patient had CPPA, (2) in contrast to our case, the other cases did not have any renal dysfunction, and (3) there were disparities in the length of duration of AN (4-9 years vs. 22 years) and body mass index (BMI) (12.5-15 vs. 11.1).…”

Fulminant Community-Acquired Hemorrhagic Pneumonia due to Pseudomonas aeruginosa in a Patient With Anorexia Nervosa

“…Although the present case had no known risk factors listed above, she had suffered from anorexia nervosa for 11 years. There are several reports of patients with anorexia nervosa who developed pneumonia due to P. aeruginosa [9], pulmonary aspergillosis [10,11] or mycobacterial infections [12]. Because malnutrition from anorexia nervosa has negative effects on immune system [13], anorexia nervosa may be a risk factor of CAP due to P. aeruginosa.…”