Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Tracheobronchial Aspergillosis Resolved Spontaneously in an Immunocompetent Host

  • Lee, Hwa Young (Department of Internal Medicine, St. Paul's Hospital, The Catholic University of Korea College of Medicine) ;
  • Kang, Hyeon Hui (Department of Internal Medicine, St. Paul's Hospital, The Catholic University of Korea College of Medicine) ;
  • Kang, Ji Young (Department of Internal Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Kim, Sung Kyoung (Department of Internal Medicine, St. Vincent's Hospital, The Catholic University of Korea College of Medicine) ;
  • Lee, Su Hyun (Department of Internal Medicine, St. Paul's Hospital, The Catholic University of Korea College of Medicine) ;
  • Chung, Yoon Yung (Department of Internal Medicine, St. Paul's Hospital, The Catholic University of Korea College of Medicine) ;
  • Kang, Hye Seon (Department of Internal Medicine, St. Paul's Hospital, The Catholic University of Korea College of Medicine) ;
  • Kwon, Hee Sun (Department of Internal Medicine, St. Paul's Hospital, The Catholic University of Korea College of Medicine) ;
  • Moon, Hwa Sik (Department of Internal Medicine, St. Paul's Hospital, The Catholic University of Korea College of Medicine) ;
  • Lee, Sang Haak (Department of Internal Medicine, St. Paul's Hospital, The Catholic University of Korea College of Medicine)
  • Received : 2012.04.16
  • Accepted : 2012.05.25
  • Published : 2012.11.30
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Abstract

A 47-year old man visited our hospital because of purulent sputum for 3 months. Chest X-ray showed destruction of both the upper lungs, and bronchoscopy revealed inflammatory change with whitish plaque on the left main bronchus through upper division of the left upper lobe. Tracheobronchial aspergillosis (TBA) was finally diagnosed as a result of histologic and microbiologic examination. However, he went abroad without medication before the diagnosis was made and visited again 10 months later. Follow-up bronchoscopy showed complete regression of the previously noted endobronchial lesion. We describe this case to consider the role of antifungal treatment in immunocompetent hosts, as well as to discuss a rare condition; TBA resolved spontaneously.

Keywords

References

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  1. Invasive Pulmonary Aspergillosis after Influenza A Infection in an Immunocompetent Patient vol.75, pp.6, 2012, https://doi.org/10.4046/trd.2013.75.6.260