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Clinical Pediatrics
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An Infant with Diffuse Lung Masses

Miltiadis Douvoyiannis, MD

Department of Pediatrics, Division of Pediatric Infectious Diseases, Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, New York, mdouvoyi{at}montefiore.org

Lana Bordy, MS

Department of Pediatrics, Division of Pediatric Infectious Diseases, Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, New York

Esra Fakioglu, MD

Department of Pediatrics, Division of Pediatric Infectious Diseases, Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, New York

Chronic granulomatous disease presenting as invasive pulmonary aspergillosis in an infant is described in this report. Symptoms of chronic, intermittent respiratory distress had been previously attributed to gastroesophageal regurgitation and asthma. The isolation of an unusual pathogen even from a nonsterile site, particularly when symptoms persist, should not be considered as a contamination but prompt further investigation to exclude phagocytic or other immune deficiencies.

Key Words: chronic granulomatous disease • Aspergillus

This version was published on July 1, 2009

Clinical Pediatrics, Vol. 48, No. 6, 686-689 (2009)
DOI: 10.1177/0009922809333098
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