J Korean Cancer Assoc.  1998 Oct;30(5):1021-1025.

A Case of Invasive Aspergillosis Characterized by the Formation of Large Bronchial Cast in Patient with Acute Myelogenous Leukemia

Affiliations
  • 1Department of Internal Medicine, Kyungpook National University, College of Medicine, Taegu, Korea.

Abstract

Invasive aspergillosis is a life-threatening infectious disease in immunocompromised patients. Prolonged neutropenia is the most important predisposing factor. Bronchial casts are generally associated with pneumonia, bronchiectasis, asthma, chronic bronchitis, allergic bronchopulmonary aspergillosis and mucoviscidosis. We experienced.a case of invasive aspergillosis characterized by the formation of large bronchial cast in patient with acute myelogenous leukemia(AML) during induction chemotherapy. The patient expectorated a large bronchial cast without airway obstruction. Aspergillus was disclosed in intraluminal surface of bronchial cast. The patient's conditions improved after amphotericin B therapy and expectoration of a large bronchial cast.

Keyword

Invasive aspergillosis; Bronchial cast

MeSH Terms

Airway Obstruction
Amphotericin B
Aspergillosis*
Aspergillosis, Allergic Bronchopulmonary
Aspergillus
Asthma
Bronchiectasis
Bronchitis, Chronic
Causality
Communicable Diseases
Cystic Fibrosis
Humans
Immunocompromised Host
Induction Chemotherapy
Leukemia, Myeloid, Acute*
Neutropenia
Pneumonia
Amphotericin B
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