A fatal case of congenital pulmonary airway malformation with aspergillosis in an adult. 2014

Hilary A Enuh, and Edward L Arsura, and Zaza Cohen, and Keith T Diaz, and Jay M Nfonoyim, and Phillip J Cosentino, and Jessie K Saverimuttu
Department of Internal Medicine, Richmond University Medical Center, Staten Island, NY, USA.

Congenital cystic adenomatoid malformation, currently referred as congenital pulmonary airway malformation (CPAM), is one of the rare lung malformations seen in adults. We report a case of a 59-year-old male with a chronic cough and hemoptysis that was not amenable to bronchial embolization. Further work up revealed cystic changes with fungal ball and type 1 CPAM. Patients with this condition who survive to adulthood usually suffer from recurrent respiratory bacterial infections. Only three cases of fungal involvement have ever been described. We present a fatal case, as well as the oldest patient.

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