# Candida krusei Lung Abscess With Black Necrotic Aspirate

## TL;DR

A rare case of Candida krusei lung infection in an immunocompromised patient presented with black, viscous aspirate, highlighting the need for early antifungal treatment in similar cases.

## Contribution

Highlights a rare clinical presentation of Candida krusei infection and its association with black aspirate in immunocompromised patients.

## Key findings

- Candida krusei was identified in a cavitary lung lesion with black necrotic aspirate.
- Immunocompromised patients with dark aspirates should be evaluated for fungal infections.

## Abstract

A profoundly immunocompromised man developed a large cavitary lung lesion producing black, viscous aspirate, with culture confirming
Candida krusei
. This rare manifestation underscores that atypically dark aspirates from lung cavities should raise suspicion for invasive fungal infection and prompt early antifungal therapy in patients with severe cellular immunodeficiency.

Black, viscous necrotic aspirate from a cavitary lung lesion revealed invasive
Candida krusei
infection in a patient with advanced HIV. Dark or tar‐like aspirates should prompt evaluation for fungal disease in immunocompromised hosts.