Chronic necrotizing pulmonary aspergillosis

被引：5

作者：

Barbosa Silva, Eduardo Felipe ^{[1
]}

Barbosa, Melanio de Paula ^{[2
]}

Alves de Oliveira, Marco Antonio ^{[1
]}

Martins, Rosane Rodrigues ^{[3
]}

Fontinele e Silva, Jefferson ^{[2
]}

机构：

[1] Hosp Base Distrito Fed, Unidade Broncoesofagol, Brasilia, DF, Brazil

[2] Hosp Base Distrito Fed, Unidade Pneumol, Brasilia, DF, Brazil

[3] Hosp Forcas Armadas, Brasilia, DF, Brazil

来源：

JORNAL BRASILEIRO DE PNEUMOLOGIA | 2009年 / 35卷 / 01期

关键词：

Aspergillosis; Lung diseases; fungal; Itraconazole; RADIOLOGIC FINDINGS; SPECTRUM;

D O I：

10.1590/S1806-37132009000100014

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Chronic necrotizing pulmonary aspergillosis is one of the forms of pulmonary aspergillosis typically found in mildly immunocompromised patients. We report the case of a female patient with complaints of chronic productive cough, fever and asthenia. She reported previous corticosteroid use. A CT scan of the chest revealed consolidation with interposed cavitation in the right upper lobe. Fiberoptic bronchoscopy revealed purulent fluid within the tracheobronchial tree and an endobronchial exophytic lesion. The results of the biopsy of that lesion and the transbronchial biopsy were consistent with aspergillosis. Based on the clinical, radiological and histopathological findings, the patient was diagnosed with chronic necrotizing pulmonary aspergillosis. Treated with itraconazole, the patient presented a favorable clinical-radiological evolution.

引用

页码：95 / 98

页数：4

共 10 条

[1] Endobronchial Aspergilloma in a 30-year-old Man [J].

Dar, Khurshid Ahmad ;

Shah, Naveed N. ;

Bhargava, Rakesh ;

Ahmed, Zuber ;

Pandey, Deepak K. ;

Dar, Nisar H. ;

Bachh, Arshad A. ;

Akhtar, Md S. ;

Ahmed, Faiz ;

Maheshwari, Veena .

JOURNAL OF BRONCHOLOGY & INTERVENTIONAL PULMONOLOGY, 2007, 14 (03) :207-209

[2] 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

[3] SEMI-INVASIVE PULMONARY ASPERGILLOSIS - A NEW LOOK AT THE SPECTRUM OF ASPERGILLUS INFECTIONS OF THE LUNG [J].

GEFTER, WB ;

WEINGRAD, TR ;

EPSTEIN, DM ;

OCHS, RH ;

MILLER, WT .

RADIOLOGY, 1981, 140 (02) :313-321

[4]

Kadakal Figen, 2004, Tuberk Toraks, V52, P179

[5] Chronic necrotizing pulmonary aspergillosis in pneumoconiosis - Clinical and radiologic findings in 10 patients [J].

Kato, T ;

Usami, I ;

Morita, H ;

Goto, M ;

Hosoda, M ;

Nakamura, A ;

Shima, S .

CHEST, 2002, 121 (01) :118-127

[6] Semiinvasive pulmonary aspergillosis: CT and pathologic findings in six patients [J].

Kim, SY ;

Lee, KS ;

Han, J ;

Kim, J ;

Kim, TS ;

Choo, SW ;

Kim, SJ .

AMERICAN JOURNAL OF ROENTGENOLOGY, 2000, 174 (03) :795-798

[7]

Martinez Roberto, 2006, J. bras. pneumol., V32, P449, DOI 10.1590/S1806-37132006000500013

[8] Chronic necrotizing pulmonary aspergillosis - Approach to management [J].

Saraceno, JL ;

Phelps, DT ;

Ferro, TJ ;

Futerfas, R ;

Schwartz, DB .

CHEST, 1997, 112 (02) :541-548

[9] The clinical spectrum of pulmonary aspergillosis [J].

Soubani, AO ;

Chandrasekar, PH .

CHEST, 2002, 121 (06) :1988-1999

[10]

WALLACE JM, 2001, J BRONCHOL, V8, P213

← 1 →