<abstract xmlns="http://www.w3.org/1999/xhtml">
<p>Aspergillosis is a fungal infection, caused by the mould Aspergillus, most commonly Aspergillus fumigatus species. Chronic pulmonary aspergillosis after SARS Cov-2 infection is a rare presentation that is commonly misdiagnosed. The prolonged corticosteroid and antibiotic application and the pro-inflammatory state in COVID-19 patients predisposes to Aspergillus infection and its chronification. Surgery plays a pivotal role in cases with unclear diagnosis, ineffective medical therapy or when complications develop. We present a case of a 73-year-old woman with chronic pulmonary aspergillosis, developed after COVID-19 pneumonia. A right lateral muscle-sparing thoracotomy, right upper lobectomy and atypical resection of the 9th and 10th segments were performed.</p>
</abstract>

Aspergillosis is a fungal infection, caused by the mould Aspergillus, most commonly Aspergillus fumigatus species. Chronic pulmonary aspergillosis after SARS Cov-2 infection is a rare presentation that is commonly misdiagnosed. The prolonged corticosteroid and antibiotic application and the pro-inflammatory state in COVID-19 patients predisposes to Aspergillus infection and its chronification. Surgery plays a pivotal role in cases with unclear diagnosis, ineffective medical therapy or when complications develop. We present a case of a 73-year-old woman with chronic pulmonary aspergillosis, developed after COVID-19 pneumonia. A right lateral muscle-sparing thoracotomy, right upper lobectomy and atypical resection of the 9th and 10th segments were performed.

Chronic Necrotizing Pulmonary Aspergillosis  After SARS-CoV-2 Infection – A Case Report 

UMHAT “Sv. Ivan Rilski”, Medical University – Sofia

Department of Anesthesiology and Intensive Care Unit

UMHAT “Sv. Iv. Rilski”, Medical University – Sofia

Acta Medica Bulgarica

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