SIMULTANEOUS LEGIONELLOSIS AND INVASIVE ASPERGILLOSIS IN AN IMMUNOCOMPETENT PATIENT NEWLY TREATED WITH CORTICOSTEROIDS

Invasive pulmonary aspergillosis (IPA), although unusual, has been rec ognized in the immunocompetent host. Several cases of IPA with rapidly progressive respiratory failure have been reported in patients receiv ing short-term corticosteroid therapy for chronic obstructive pulmonar y disease. Atypical pneumonia caused by dual infection with Legionella pneumophila and Mycoplasma pneumoniae has also been reported. We repo rt an unusual case of simultaneous L pneumophila pneumonia and IPA in an asthma patient with suspected allergic bronchopulmonary aspergillos is newly treated with corticosteroids.