[Lethal case of chronic necrotizing pulmonary aspergillosis (CNPA)].

Though not overtly immunosuppressed, an elderly female patient suffered from chronic pleurisy due to Aspergillus fumigatus. In spite of nearly six months of itraconzole-therapy, she eventually succumbed to CNPA. Pleurisy may be a typical manifestation of this rare mycosis which is often ill fated.