Invasive aspergillosis in a 52-year-old man with systemic lupus erythematosus who had been on chronic high-dose corticosteroids and azathioprine. Invasive.

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Invasive aspergillosis in a 52-year-old man with systemic lupus erythematosus who had been on chronic high-dose corticosteroids and azathioprine. Invasive aspergillosis in a 52-year-old man with systemic lupus erythematosus who had been on chronic high-dose corticosteroids and azathioprine. The plain chest radiograph (left) is suggestive of septic pulmonary emboli, with multiple large nodules bilaterally, at least two of which contain central cavities. The right panel demonstrates one of these thick-walled cavities as seen by computed tomography. This patient also had Aspergillus in the brain, which is a common site of metastatic spread in immunocompromised hosts. L. Beth Gadkowski, and Jason E. Stout Clin. Microbiol. Rev. 2008; doi:10.1128/CMR.00060-07