{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T13:40:33Z","timestamp":1753882833228,"version":"3.41.2"},"reference-count":22,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medical Case Reports"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p> Invasive aspergillosis is a life-threatening condition of the immunocompromised, with a low occurrence reported in the immunocompetent. Although usually made by invasive methods, its early diagnosis is the cornerstone of a better prognosis as it yields a timely management and thus a lower mortality risk. Mediastinal invasion by Aspergillus is, like any fungal mediastinitis, uncommon and usually results from a hematogeneous or a contiguous spread, a postoperative fungal infection, a complication of a descending necrotizing fasciitis, or from an esophageal perforation. We report a case of a diabetic patient with a previous history of hospitalization 2\u2009months earlier for a COVID-19 infection, otherwise healthy, presenting with an unresolving dorsal pain. A malignancy was expected but further work-up showed in fine a posterior mediastinitis due to Aspergillus fumigatus. Thus, fungal etiologies are to be included as a differential while diagnosing a posterior mediastinitis even in a relatively immunocompetent patient and with no evident route of entry. <\/jats:p>","DOI":"10.1177\/2050313x221081386","type":"journal-article","created":{"date-parts":[[2022,2,28]],"date-time":"2022-02-28T10:05:41Z","timestamp":1646042741000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["A post-COVID-19 <i>Aspergillus fumigatus<\/i> posterior mediastinitis: Case report"],"prefix":"10.1177","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6110-3861","authenticated-orcid":false,"given":"Nadine El","family":"Hoyek","sequence":"first","affiliation":[{"name":"Department of Radiology, Hotel Dieu de France University Hospital, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacques","family":"Ghorayeb","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Saint Joseph University Hospital, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iskandar","family":"Daou","sequence":"additional","affiliation":[{"name":"Department of Radiology, Saint Joseph University Hospital, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dany","family":"Jamal","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Unit, Saint Joseph University Hospital, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathalie","family":"Mahfoud","sequence":"additional","affiliation":[{"name":"Department of Pathology, Saint Joseph University 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