Tuberculosis and Respiratory Diseases

  • 제74권5호
  • /
  • Pages.231-234
  • /
  • 2013
  • /
  • 1738-3536(pISSN)
  • /
  • 2005-6184(eISSN)
대한결핵및호흡기학회 (The Korean Academy of Tuberculosis and Respiratory Diseases)
권호 표지
DOI QR코드

DOI QR Code

A Case of Endobronchial Aspergilloma Associated with Foreign Body in Immunocompetent Patient without Underlying Lung Disease

  • Jung, Seung Won (Division of Tuberculosis and Pulmonology, Department of Internal Medicine, Kwangju Christian Hospital) ;
  • Kim, Moo Woong (Division of Tuberculosis and Pulmonology, Department of Internal Medicine, Kwangju Christian Hospital) ;
  • Cho, Soo Kyung (Division of Tuberculosis and Pulmonology, Department of Internal Medicine, Kwangju Christian Hospital) ;
  • Kim, Hyun Uk (Division of Tuberculosis and Pulmonology, Department of Internal Medicine, Kwangju Christian Hospital) ;
  • Lee, Dong Cheol (Division of Tuberculosis and Pulmonology, Department of Internal Medicine, Kwangju Christian Hospital) ;
  • Yoon, Byeong Kab (Division of Tuberculosis and Pulmonology, Department of Internal Medicine, Kwangju Christian Hospital) ;
  • Jeong, Jong Pil (Division of Tuberculosis and Pulmonology, Department of Internal Medicine, Kwangju Christian Hospital) ;
  • Ko, Young Choon (Division of Tuberculosis and Pulmonology, Department of Internal Medicine, Kwangju Christian Hospital)
  • 투고 : 2012.08.17
  • 심사 : 2012.09.24
  • 발행 : 2013.05.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Aspergillus causes a variety of clinical syndromes in the lung including tracheobronchial aspergillosis, invasive aspergillosis, chronic necrotizing pulmonary aspergillosis, allergic bronchopulmonary aspergillosis, and aspergilloma. Aspergilloma usually results from ingrowths of colonized Aspergillus in damaged bronchial tree, pulmonary cyst or cavities of patients with underlying lung diseases. There are a few reports on endobronchial aspergilloma without underlying pulmonary lesion. We have experienced a case of endobronchial aspergilloma associated with foreign body developed in an immunocompetent patient without underlying lung diseases. A 59-year-old man is being hospitalized with recurring hemoptysis for 5 months. X-ray and computed tomography scans of chest showed a nodular opacity in superior segment of left lower lobe. Fiberoptic bronchoscopy revealed an irregular, mass-like, brownish material which totally obstructed the sub-segmental bronchus and a foreign body in superior segmental bronchus of the lower left lobe. Histopathologic examinations of biopsy specimen revealed fungal hyphae, characteristic of Aspergillus species.

키워드

참고문헌

  1. Mason RJ, Broaddus VC, Martin TR, King TE, Schraufnagel DE, Murray JF, et al. Murray and Nadel's textbook of respiratory medicine. 5th ed. Philadelphia: Saunders; 2010.
  2. Glimp RA, Bayer AS. Pulmonary aspergilloma: diagnostic and therapeutic considerations. Arch Intern Med 1983;143:303-8. https://doi.org/10.1001/archinte.1983.00350020129023
  3. Kim JS, Rhee Y, Kang SM, Ko WK, Kim YS, Lee JG, et al. A case of endobronchial aspergilloma. Yonsei Med J 2000;41:422-5.
  4. Kim TH, Yong BJ, Kim YK, Lee YM, Kim KU, Uh ST, et al. A case of endobronchial aspergilloma with massive hemoptysis. Tuberc Respir Dis 2004;57:589-93.
  5. Eom WY, Kim NI, Kim SW, Lee BH, Kim SH, Ahn YS, et al. A case of endobronchial aspergilloma in patient with collapse of right middle lobe. Korean J Med 2006;70:221-5.
  6. Kim SJ, Lee EJ, Lee TH, Yoo KH, Lee KY. A case of endobronchial aspergilloma. Tuberc Respir Dis 2006; 61:60-4. https://doi.org/10.4046/trd.2006.61.1.60
  7. Lee SH, Lee BJ, Jung DY, Kim JH, Sohn DS, Shin JW, et al. Clinical manifestations and treatment outcomes of pulmonary aspergilloma. Korean J Intern Med 2004; 19:38-42. https://doi.org/10.3904/kjim.2004.19.1.38
  8. Ma JE, Yun EY, Kim YE, Lee GD, Cho YJ, Jeong YY, et al. Endobronchial aspergilloma: report of 10 cases and literature review. Yonsei Med J 2011;52:787-92. https://doi.org/10.3349/ymj.2011.52.5.787
  9. Quoix E, Gasser B, Apprill M, Gourdon C, Pauli G, Roegel E. Endobronchial aspergillosis associated with a carcinoid tumor. Rev Mal Respir 1990;7:609-12.
  10. Ham HS, Lee SJ, Cho YJ, Jeon KN, Jeong YY, Kim HC, et al. A case of lung cancer obscured by endobronchial aspergilloma. Tuberc Respir Dis 2006;61:157-61. https://doi.org/10.4046/trd.2006.61.2.157
  11. Soubani AO, Chandrasekar PH. The clinical spectrum of pulmonary aspergillosis. Chest 2002;121:1988-99. https://doi.org/10.1378/chest.121.6.1988
  12. Kauffman CA. Quandary about treatment of aspergillomas persists. Lancet 1996;347:1640. https://doi.org/10.1016/S0140-6736(96)91481-6

피인용 문헌

  1. Chronic necrotizing pulmonary aspergillosis in an immunocompetent patient: report of a rare case vol.42, pp.3, 2013, https://doi.org/10.1007/s15010-013-0575-z
  2. Endobronchial aspergilloma: A case report and literature review vol.14, pp.1, 2017, https://doi.org/10.3892/etm.2017.4540
  3. Endobronchial aspergilloma-a comprehensive literature review with focus on diagnosis and treatment modalities vol.39, pp.4, 2013, https://doi.org/10.1007/s10096-019-03726-5