Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Broncholithiasis Caused by Aspergillus with Broncho Obstructive Pneumonia and Massive Hemoptysis

기관지 폐쇄성 폐렴 및 대량 객혈을 동반한 Aspergillus에 의한 기관지결석증 1례

  • Choi, Chang-Kyu (Department of Pulmonology and Allergy, Bundang Jesaeng General Hospital) ;
  • Ryu, Jin-Kyung (Department of Pulmonology and Allergy, Bundang Jesaeng General Hospital) ;
  • Bae, Jin-Soo (Department of Pulmonology and Allergy, Bundang Jesaeng General Hospital) ;
  • Hwang, Tae-Jun (Department of Pulmonology and Allergy, Bundang Jesaeng General Hospital) ;
  • Paik, So-Ya (Department of Diagnostic Pathology, Bundang Jesaeng General Hospital) ;
  • Kim, Do-Hoon (Department of Pulmonology and Allergy, Bundang Jesaeng General Hospital) ;
  • Choi, Jeong-Hee (Department of Pulmonology and Allergy, Bundang Jesaeng General Hospital)
  • 최창규 (분당제생병원 호흡기-알레르기 내과) ;
  • 류진경 (분당제생병원 호흡기-알레르기 내과) ;
  • 배진수 (분당제생병원 호흡기-알레르기 내과) ;
  • 황태준 (분당제생병원 호흡기-알레르기 내과) ;
  • 백소야 (분당제생병원 호흡기-알레르기 진단병리과) ;
  • 김도훈 (분당제생병원 호흡기-알레르기 내과) ;
  • 최정희 (분당제생병원 호흡기-알레르기 내과)
  • Received : 2005.03.21
  • Accepted : 2005.07.11
  • Published : 2005.07.30
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Abstract

A broncholith is a calcified mediastinal lymph node, which partially or completely erodes into the bronchial lumen, and is related to the late tissue response to healing of granulomatous pulmonary infections, most commonly histoplasmosis or tuberculosis. However, there have been a few reports on broncholithiasis caused by Aspergillus. We experienced a case of broncholithiasis caused by Aspergillus, with broncho-obstructive pneumonia and massive hemoptysis. A 39 year-old woman was admitted to our hospital with right middle lobar pneumonia. On the fourth day following admission, massive hemoptysis developed, so an emergent bronchial artery embolization was performed. On the ninth day following admission, a broncholith on the lateral segmental bronchus of the right middle lobe was found by bronchoscopy, which was proved to be Aspergillus hypae with calcification on histological examination. After the simple bronchoscopic removal of the broncholith and empirical antibiotic therapy, the patient recovered without any complications.

저자들은 우중엽 폐렴 환자에서 대량객혈이 발생하여 기관지동맥색전술을 시행하고, 기관지내시경상 우중엽 외측 구역기관지를 막고 있는 기관지결석을 발견하여 조직검사상 Aspergillus에 의한 기관지결석임을 증명하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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