Pulmonary aspergillosis is a life-threatening complication in immunocompromised patients.
It is an opportunistic disease, which predominantly occurs in the lungs, although
dissemination to virtually any organ is possible.
We report a case of a 35 year old male with newly diagnosed acute myeloid leukemia
who presented with a right lateral perforation of the trachea due to invasive aspergillosis
infection. Initially bronchoscopic stenting was performed with initiation of an antimycotic
therapy which consisted of liposomal Amphotericin B and Caspofungin. Due to a rather
large tracheal mycotic perforation the indication for surgical treatment was given
in order to allow the start of a timely highdose chemotherapy.