This case fulfills the criteria of putative invasive aspergillosis according to the classification defined by Blot et al. for the diagnosis of invasive pulmonary aspergillosis in critically ill patients (8). Because the patient’s illness took a rapid and fatal course, we did not have time to initiate appropriate antifungal treatment. As previously reported, respiratory samples led to a diagnosis of aspergillosis, but blood samples lacked sensitivity (4). Moreover, Aspergillus PCR contributed to the diagnosis, but the galactomannan was negative, consistent with what we previously reported about the lower sensitivity of the galactomannan compared with PCR and culture in respiratory samples (9).