Abstract
A 50-year-old man, previously diagnosed with pulmonary tuberculosis and lung cavities, presented with symptoms including fever, shortness of breath, and cough. A pulmonary CT scan revealed multiple cavities, consolidation and tree-in-bud in the upper lungs. Further investigation through direct examination of bronchoalveolar lavage fluid showed septate hyphae with dichotomous acute branching. Subsequent isolation and morphological analysis identified the fungus as belonging to Aspergillus section Nigri. The patient was diagnosed with probable invasive pulmonary aspergillosis and successfully treated with a three-month oral voriconazole therapy. Phylogenetic analysis based on partial β-tubulin, calmodulin and RNA polymerase second largest subunit sequences revealed that the isolate represents a putative new species related to Aspergillus brasiliensis, and is named Aspergillus hubkae here. Antifungal susceptibility testing demonstrated that the isolate is resistant to itraconazole but susceptible to voriconazole. This phenotypic and genetic characterization of A. hubkae, along with the associated case report, will serve as a valuable resource for future diagnoses of infections caused by this species. It will also contribute to more precise and effective patient management strategies in similar clinical scenarios.
| Original language | English |
|---|---|
| Pages (from-to) | 44 |
| Journal | Mycopathologia |
| Volume | 189 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - 11 May 2024 |
Keywords
- Humans
- Male
- Middle Aged
- Antifungal Agents/therapeutic use
- Aspergillus/isolation & purification
- Bronchoalveolar Lavage Fluid/microbiology
- Cluster Analysis
- DNA, Fungal/genetics
- Invasive Pulmonary Aspergillosis/microbiology
- Itraconazole/pharmacology
- Microbial Sensitivity Tests
- Microscopy
- Phylogeny
- Sequence Analysis, DNA
- Tomography, X-Ray Computed
- Treatment Outcome
- Tubulin/genetics
- Voriconazole/therapeutic use