Akhil S¹*, Jineesh Joseph² and Sumesh Raj³

¹Post Graduate MD General Medicine, Gokulam Medical College, Kerala University of Health Science, India
²Assistant Professor in Pulmonology, Sree Gokulam Medical College, Kerala, India
³Professor of Medicine, Sree Gokulam Medical College, Kerala, India

*Corresponding Author: Akhil S, Post Graduate MD General Medicine, Gokulam Medical College, Kerala University of Health Science, India.

Received: December 20, 2024; Published: January 28, 2025

Abstract

We present a case of subacute invasive pulmonary aspergillosis in a 34-year-old female with a history of uncontrolled diabetes mellitus and chronic calcific pancreatitis. The patient presented with persistent right upper back pain and productive cough. Despite initial antibiotic treatment and empiric anti-tuberculosis therapy, her condition deteriorated. Diagnostic imaging, bronchoscopy, and serological tests ultimately led to the diagnosis of subacute invasive pulmonary aspergillosis. The patient underwent surgical intervention with right upper and middle lobectomy along with antifungal therapy. This case highlights the importance of considering fungal infections in the differential diagnosis of cavitary lung lesions, especially in patients with underlying comorbidities.

Keywords: Chronic Pulmonary Aspergillosis; Diabetes Mellitus; Cavitary Lung Disease; Voriconazole; Lobectomy

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Citation

Citation: Akhil S., et al. “Diagnostic Dilemma: Subacute Invasive Pulmonary Aspergillosis (SAIA) Mimicking Tuberculosis in a Young Diabetic Patient". Acta Scientific Clinical Case Reports 6.2 (2025): 50-53.

Copyright

Copyright: © 2025 Akhil S., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.