Korean J Thorac Cardiovasc Surg.  2003 Nov;36(11):874-877.

Necrotizing Bronchial Aspergillosis: A case report

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, College of Medicine, Kyung Hee University, Seoul, Korea. jcpark@khmc.or.kr
  • 2Department of Pathology, College of Medicine, Kyung Hee University, Seoul, Korea.

Abstract

Necrotizing bronchial aspergillosis usually occurs in the immumocompromised host. Aspergillus invades bronchial epithelium and forms endobronchial mass or endobronchial stenosis. A 78-year-old male patient with diabetus mellitus complaining of dyspnea and cough was admitted to our hospital. Plain chest X-ray and chest computed tomogram showed a large endobronchial mass and total collapse of left upper lobe of the lung. Bronchoscopic biopsy of the endobronchial mass revealed chronic inflammation. To confirm the endobronchial mass, we performed sleeve lobectomy of left upper lobe of the lung. Histologically the mass was diagnosed as necrotizing bronchial aspergillosis. We report a case of necrotizing bronchial aspergillosis in an elderly man who has diabetus mellitus with review of the literature.

Keyword

Aspergillosis, lung; Sleeve resection; Lung infection; Lobectomy

MeSH Terms

Aged
Aspergillosis*
Aspergillus
Biopsy
Constriction, Pathologic
Cough
Dyspnea
Epithelium
Humans
Inflammation
Lung
Male
Pulmonary Aspergillosis
Thorax
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