Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Broncholithiasis Caused by Aspergillus

Aspergillus에 의한 기관지 결석증 1예

  • Kwon, Mi-Young (Department of Internal Medicine, College of Medicine, Inha University) ;
  • Oh, Yoon-Ju (Department of Internal Medicine, College of Medicine, Inha University) ;
  • Ryu, Jeong-Seon (Department of Internal Medicine, College of Medicine, Inha University) ;
  • Kwak, Seung-Min (Department of Internal Medicine, College of Medicine, Inha University) ;
  • Lee, Hong-Lyeol (Department of Internal Medicine, College of Medicine, Inha University) ;
  • Cho, Chul-Ho (Department of Internal Medicine, College of Medicine, Inha University) ;
  • Roh, Hyung-Keun (Department of Internal Medicine, College of Medicine, Inha University) ;
  • Kim, Joon-Mee
  • 권미영 (인하대학교 의과대학 내과학교실) ;
  • 오윤주 (인하대학교 의과대학 내과학교실) ;
  • 류정선 (인하대학교 의과대학 내과학교실) ;
  • 곽승민 (인하대학교 의과대학 내과학교실) ;
  • 이홍렬 (인하대학교 의과대학 내과학교실) ;
  • 조철호 (인하대학교 의과대학 내과학교실) ;
  • 노형근 (인하대학교 의과대학 내과학교실) ;
  • 김준미 (인하대학교 의과대학 병리학교실)
  • Published : 1999.01.30
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Abstract

Broncholith is a calcified lymph node which partially or completely erodes into the bronchial lumen and broncholithiasis is a relatively rare condition which related to late tissue response to healing granulomatous pulmonary infections, most commonly histoplasmosis or tuberculosis. The prominent symptoms of broncholithiasis are coughing followed by hemoptysis and symptoms related to bronchial obstruction. The complications include bronchoesophageal fistula and aortotracheal fistula. We report one case of broncholithiasis caused by Aspergillus. The case was a 53 year-old house wife whose chief complaints were recurrent fever, chill and malaise. The chest film revealed an avoid hazziness on the right middle lobe and chest cr scan showed consolidation of lateral segment of right middle lobe with calcified small low attenuated lesion in right middle lobe bronchus. Aspergillosis confirmed by pathology after bronchoscopic removal of impacted Aspergillus containing muddy plug from lateral segmental branch of right middle lobe bronchus.

저자 등은 만성적으로 반복되는 호흡기 감염 증상과 흉부 X-선 검사상 침윤 소견을 보여온 우폐중엽 증후군 환자에서 기관지경을 통해 기관지 폐쇄를 일으킨 이(泥)형질의 결석을 제거하였고, 여기에서 Aspergillus를 분리함으로써 확진된 Aspergillus에 의한 기관지 결석 1예를 경험하였기에 보고하는 바이다.

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