Invasive aspergillosis in the aortic arch with infectious Aspergillus lesions in pulmonary bullae

Invasive aspergillosis in the aortic arch with infectious Aspergillus lesions in pulmonary bullae

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A patient with pulmonary bullae died of massive hemoptysis.At autopsy a hole was observed in the aortic wall.A microscopic examination indicated small Aspergillus lesions in Coffee Roaster pulmonary bullae and extensive necrotic lesions with Aspergillus hyphae in the media of the thoracic aorta.These findings led to a diagnosis of invasive aspergillosis in the aortic arch.

This is a rare case Traction - Upper Extremity in which Aspergillus invaded the aorta in a patient without hematologic neoplasms or neutropenia.