invasive aspergillosis undiagnosed until the time of au- topsy underscores the importance of being mindful of the diagnosis of Aspergillus infections not only in the classically immunodeficient patients but also in the presumably im- munocompetent individuals. It is likely that in the current case, the patient’s determinants of increased risk included alcoholism and liver failure due to established cirrhosis. ACKNOWLEDGEMENTS The authors would like to gratefully acknowledge the support of the Orleans Parish Coroner’s Office: Dr. Frank Minyard and Chief Investigator JohnGagliano for providing the case material for this report. REFERENCES 1. Latge JP. Aspergillus fumigatus and Aspergillosis. ClinMicrobiol Rev . 1999;12(2):310-350. 2. Kousha M, Tadi R, Soubani AO. Pulmonary Aspergillosis: a Clinical Review. Eur Respir Rev . 2011;20:156-174. 3. Rankin N. Disseminated Aspergillosis andMoniliasis Associated with Agranulocytosis and Antibiotic Therapy. Br Med J . 1953;183:918-9. 4. Fraser DW, Ward JL, Ajello L, et al. Aspergillosis and Other Systemic Mycoses. The Growing Problem. JAMA . 1979;242:1631- 5. 5. Denning DW. Invasive Aspergillosis. Clin Infect Dis . 1998;26:781- 803.
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In the Department of Pathology at Louisiana State University School of Medicine in New Orleans, Dr. McGoey is an Associate Professor of Pathology and Residency Program Director, and Dr. Newman is a Professor of Pathology and Director of the Autopsy Service.
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