Pulmonary aspergillosis in renal transplant recipient: case report

被引:0
作者
Ostrowski, Lukasz [1 ]
Ostrowska, Joanna [1 ]
Nowacka-Cieciura, Ewa [1 ]
Durlik, Magdalena [1 ]
Golebiowski, Marek [1 ]
机构
[1] Akad Klin, Zakad Radiol Klin, Ul Chalubinskiego 5, PL-02004 Warsaw, Poland
关键词
pulmonary aspergillosis; renal transplantation; radiology;
D O I
暂无
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Background: We present the radiological findings of pulmonary aspergillosis in a patient who had received a renal transplant, this being a case of proven pulmonary aspergillosis in an immunocompromised person. Posteroanterior chest radiography and lateral chest radiography were done several times over two weeks. CT was done before diagnosis was established and followed up after two months of treatment. Case Report: X-rays showed a few coin lesions in the right lung. CT suggested metastases in both lungs. Invasive exploratory methods such as bronchoscopy and thoracotomy were recommended. Open lung biopsy confirmed the diagnosis. Results: We observed atypical radiological and clinical symptoms. The final diagnosis was based on a combination of radiological, clinical, microbiological, and invasive methods.
引用
收藏
页码:107 / 111
页数:5
相关论文
共 15 条
[1]   Improved management of invasive pulmonary aspergillosis in neutropenic patients using early thoracic computed tomographic scan and surgery [J].
Caillot, D ;
Casasnovas, O ;
Bernard, A ;
Couaillier, JF ;
Durand, C ;
Cuisenier, B ;
Solary, E ;
Piard, F ;
Petrella, T ;
Bonnin, A ;
Couillault, G ;
Dumas, M ;
Guy, H .
JOURNAL OF CLINICAL ONCOLOGY, 1997, 15 (01) :139-147
[2]   AIR CRESCENT SIGN OF INVASIVE ASPERGILLOSIS [J].
CURTIS, AM ;
SMITH, GJW ;
RAVIN, CE .
RADIOLOGY, 1979, 133 (01) :17-21
[3]   Spectrum of pulmonary aspergillosis:: Histologic, clinical, and radiologic findings [J].
Franquet, T ;
Müller, NL ;
Giménez, A ;
Guembe, P ;
de la Torre, J ;
Bagué, S .
RADIOGRAPHICS, 2001, 21 (04) :825-837
[4]   Semiinvasive pulmonary aspergillosis in chronic obstructive pulmonary disease:: Radiologic and pathologic findings in nine patients [J].
Franquet, T ;
Müller, NL ;
Giménez, A ;
Domingo, P ;
Plaza, V ;
Bordes, R .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2000, 174 (01) :51-56
[5]   The radiologic spectrum of pulmonary Aspergillus infections [J].
Gotway, MB ;
Dawn, SK ;
Caoili, EM ;
Reddy, GP ;
Araoz, PA ;
Webb, WR .
JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 2002, 26 (02) :159-173
[6]   Early chest radiography and CT in the diagnosis, management and outcome of invasive pulmonary aspergillosis [J].
Hauggaard, A ;
Ellis, M ;
Ekelund, L .
ACTA RADIOLOGICA, 2002, 43 (03) :292-298
[7]   Accuracy percutaneous lung biopsy for invasive pulmonary aspergillosis [J].
Hoffer, FA ;
Gow, K ;
Flynn, PM ;
Davidoff, A .
PEDIATRIC RADIOLOGY, 2001, 31 (03) :144-152
[8]   RADIOLOGIC PATHOLOGICAL CORRELATION OF THE CT HALO SIGN IN INVASIVE PULMONARY ASPERGILLOSIS [J].
HRUBAN, RH ;
MEZIANE, MA ;
ZERHOUNI, EA ;
WHEELER, PS ;
DUMLER, JS ;
HUTCHINS, GM .
JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1987, 11 (03) :534-536
[9]   The value of the chest computed tomography halo sign in the diagnosis of invasive pulmonary aspergillosis. An autopsy-based retrospective study of 48 patients [J].
Kami, M ;
Kishi, Y ;
Hamaki, T ;
Kawabata, M ;
Kashima, T ;
Masumoto, T ;
Oki, Y ;
Tanaka, Y ;
Sawada, S ;
Machida, U ;
Ohtomo, K ;
Kanda, Y ;
Hirai, H ;
Mutou, Y .
MYCOSES, 2002, 45 (08) :287-294
[10]   Pulmonary aspergillosis in immunocompetent hosts without underlying lesions of the lung: Radiologic and pathologic findings [J].
Kang, EY ;
Kim, DH ;
Woo, OH ;
Choi, JA ;
Oh, YW ;
Kim, CH .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2002, 178 (06) :1395-1399