Pulmonary Aspergillosis Presenting as Cor-pulmonale in an Immunocompetent Nigerian Man

Invasive pulmonary aspergillosis is a fulminant and highly lethal infection of severely immunocompromised patients. Risk factor for aspergillus infection include granulocytopenia (from bone marrow infiltration), intensive cytotoxic chemotherapy, corticosteroid use, chronic obstructive airway disease, pneumoconiosis and malnutrition to mention a few. Rarely, pulmonary aspergillosis has been reported in immunocompetent patients, reports of right ventricular dysfunction from pulmonary aspergillosis are not common. This is a report of pulmonary aspergillosis with cor pulmonale in an immunocompetent Nigeria man.