Thoracic Research and Practice
Case report

Oxalosis Around a Pulmonary Fungus Ball (Aspergilloma)

1.

Dokuz Eylül University, Medical School, Department of Pathology, Izmir, Turkey

2.

Dokuz Eylül University, Medical School, Department of Chest Diseases, Izmir, Turkey

3.

Dokuz Eylül University, Medical School, Department of Thoracic and Cardiovascular Surgery, Izmir, Turkey

Thorac Res Pract 2003; 4: Turkish Respiratory Journal 21-24
Read: 465 Downloads: 271 Published: 10 October 2021

A 41-year-old man with a previous history of tuberculosis pre­sented with hemoptysis and a pulmonary cavitation in the left upper lobe. Persistent hemoptysis ultimately led to left upper lobectomy. Histopathological examination of the surgical specimen revealed a fungus ball with numerous birefringent calcium oxalate crystals either within the mycelium and in the adjacent lung parenchyma. The final diagnosis was pul­monary aspergilloma with oxalosis. The finding of calcium oxalate crystals in the absence of other oxalosis-related con­ditions can be regarded as a diagnostic clue for Aspergillus infection.

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EISSN 2979-9139