Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Pulmonary Aspergilloma in Bronchogenic Cyst Associated with An Actinomycosis

흉부 방선균증이 동반된 기관지 기원 낭내 폐 국균종

  • Kim, Gun Hyun (Department of Internal Medicine, Fatima Hospital) ;
  • Kim, Kwang Hyun (Department of Internal Medicine, Fatima Hospital) ;
  • Kim, Min Seon (Department of Internal Medicine, Fatima Hospital) ;
  • Park, Jae Eun (Department of Internal Medicine, Fatima Hospital) ;
  • Kim, Dae Jin (Department of Internal Medicine, Fatima Hospital) ;
  • Son, Hyuk Su (Department of Internal Medicine, Fatima Hospital) ;
  • Kim, Yeon Jae (Department of Internal Medicine, Fatima Hospital) ;
  • Lee, Byung Ki (Department of Internal Medicine, Fatima Hospital) ;
  • Huh, Dong Myung (Department of Thoracic and Cardiovascular Surgery, Fatima Hospital) ;
  • Gu, Mi Jin (Department of Pathology, Fatima Hospital)
  • 김건현 (대구 파티마 병원 내과) ;
  • 김광현 (대구 파티마 병원 내과) ;
  • 김민선 (대구 파티마 병원 내과) ;
  • 박재은 (대구 파티마 병원 내과) ;
  • 김대진 (대구 파티마 병원 내과) ;
  • 손혁수 (대구 파티마 병원 내과) ;
  • 김연재 (대구 파티마 병원 내과) ;
  • 이병기 (대구 파티마 병원 내과) ;
  • 허동명 (대구 파티마 병원 흉부외과) ;
  • 구미진 (대구 파티마 병원 병리과)
  • Received : 2004.06.14
  • Accepted : 2004.09.23
  • Published : 2004.12.30
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Abstract

Pulmonary aspergilloma usually arises in preexisting lung cavities characterized by recurrent hemoptysis. Although surgical resection of the aspergilloma is the best treatment, most patients are poor candidates for surgery because of far-advanced underlying pulmonary disease. On the other hand, pulmonary actinomycosis is a chronic, indolent bacterial infection and follows aspiration of oropharyngeal material. Bronchiectasis and obstructive lung disease are often associated underlying conditions. We report a case of pulmonary aspergilloma in bronchogenic cyst associated with an actinomycosis in 21-year-old woman treated by thoracoscopic surgery with a review of literature.

수년간의 반복되는 객혈로 내원한 21세 여자환자에서 방사선학적 소견상 진균덩이가 의심되어 흉강경을 이용한 우하엽 절제술을 시행하였으며, 절제한 조직의 병리 조직학적 검사상 기관지 기원 낭내 발생한 국균종과 이에 동반된 방선균증으로 진단된 예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

Keywords

References

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