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Aspergillus Lymphadenitis Mimicking Cervical Lymph Node Recurrence in a Breast Cancer Patient

Verna V, Mary-Ann D

Invasive aspergillosis mostly occurs in severely immune compromised patient and infrequently in an immunecompetent host. The usual site of infection is the pulmonary system. Extra pulmonary sites such as isolated lymphadenopathy without systemic symptoms are rare. We present a case of aspergillosis in the cervical lymph node of breast cancer patient six years after completing chemotherapy. Diagnosis was excision biopsy of an enlarged cervical lymph node and the patient was successfully treated with oral Itraconazole for three months without disease recurrence 3 years following completion of medication.