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Yu-Ping Li MD, Department of Pulmonary Medicine The First Affiliated Hospital of Wenzhou Medical University Wenzhou, Zhejiang 325015, China Tel: (86) 0577-5557-9273 Fax: (86) 0577-5557-9273 E-mail: [email protected] Received date: February 20, 2016; Accepted date: April 14, 2016; Published date: April 18, 2016 Citation: Su S, Zhou Y, Xie Y, Ye M, Chen C, et al.(2016) Fatal Recurrent Invasive Pulmonary Aspergillosis: A Rare Co-infection Case with Pulmonary Embolism in COPD. doi:10.4172/2161-105X.1000333 Copyright: © 2016 Su S, et al.The coexistence of these three fatal diseases is rare.

Whereas, the coexistence of IPA and PE in one single COPD patient is rare.In December 2014, when the patient was admitted at the local hospital, a chest CT scan showed a fibrotic lesion in right upper lobe, considered as a scar healed from the previous infected cavity (Figure 2), with emphysematous change.Subsequently, a diagnosis of ‘acute exacerbation of COPD’ was made and antibiotics (imipenem) and methylprednisolone were administered, which gradually improve the symptoms in 2 weeks.As symptoms improved, he withdrew the drugs with no doctors’ order and follow-up.Comorbidities included hypertension and diabetes mellitus with no drug use.

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