Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Chronic Necrotizing Pulmonary Aspergillosis with Pulmonary Artery Aneurysm

폐동맥류를 동반한 만성 괴사성 침입성 폐 국균증 1예

  • Kim, Hwi-Jong (Department of Internal Medicine, College of Medicine, Gyeong Sang National University) ;
  • Chung, Hyo-Young (Department of Internal Medicine, College of Medicine, Gyeong Sang National University) ;
  • Kim, Soo-Hee (Department of Internal Medicine, College of Medicine, Gyeong Sang National University) ;
  • Yun, Ji-Chul (Department of Internal Medicine, College of Medicine, Gyeong Sang National University) ;
  • Lee, Jong-Deog (Department of Internal Medicine, College of Medicine, Gyeong Sang National University) ;
  • Hwang, Young-Sil (Department of Internal Medicine, College of Medicine, Gyeong Sang National University)
  • 김휘종 (경상대학교 의과대학 내과학교실) ;
  • 정효영 (경상대학교 의과대학 내과학교실) ;
  • 김수희 (경상대학교 의과대학 내과학교실) ;
  • 윤지철 (경상대학교 의과대학 내과학교실) ;
  • 이종덕 (경상대학교 의과대학 내과학교실) ;
  • 황영실 (경상대학교 의과대학 내과학교실)
  • Published : 2000.07.30
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Abstract

Pulmonary aspergillosis is classified as a saprophytic, allergic, and invasive disease. Chronic necrotizing pulmonary aspergillosis is categorized as an invasive pulmonary aspergillosis. Most invasive pulmonary aspergillosis have acute and toxic clinical features but chronic necrotizing pulmonary aspergillosis is characterized by a subacute infection, most commonly seen in patients with altered local defense system from preexisting pulmonary disease or in mild immunocompromised patients. Pulmonary artery aneurysm due to this infection is termed as a mycotic aneurysm, etiology of which are tuberculosis, syphilis, bacteria and fungus. We report a case of chronic necrotizing pulmonary aspergillosis complicating pulmonary aneurysm in a 62 year-old man who was presented with cough, sputum, and fever. Chest radiographs showed a rapid, progressive cavitary lesion and pulmonary artery aneurysm. Angioinvasion of asper gillus was revealed by pathology after operative removal of left upper lobe containing the pulmonary artery aneurysm. He was treated with itraconazole.

저자들은 객담, 기침, 발열과 호흡곤란을 보이고 단순 흉부촬영상 다발성 공동과 경변을 보이며 흉부 전산화 촬영과 폐동맥 혈관조영술상 폐 동맥류가 확인된 환자에서 폐 절제술후 만성 괴사성 침입성 폐 국균증으로 진단된 1예를 경험하였기에 이에 보고하는 바이다.

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