Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Pseudomembranous Aspergillus Tracheobronchitis: Case Report of a Rare Manifestation of Airway Invasive Aspergillosis

거짓막성 아스페르길루스 기관-기관지염: 기도침습성 아스페르길루스증의 희귀한 발현에 대한 증례 보고

  • Jae Sung Cho (Department of Radiology Jeju National University Hospital) ;
  • Jeong Jae Kim (Department of Radiology Jeju National University Hospital) ;
  • Sun Young Jeong (Department of Human Medical Imaging & Intervention Center Jeju National University Hospital) ;
  • Yun soo Lee (Department of Internal Medicine Jeju National University Hospital) ;
  • Miok Kim (Department of Internal Medicine Jeju National University Hospital) ;
  • Sung Joon Park (Department of Pathology Jeju National University Hospital) ;
  • Myeong Ju Koh (Department of Radiology Jeju National University Hospital)
  • 조재성 (제주대학교병원 영상의학과) ;
  • 김정재 (제주대학교병원 영상의학과) ;
  • 정선영 (제주대학교병원 휴먼영상의학센터) ;
  • 이연수 (제주대학교병원 내과) ;
  • 김미옥 (제주대학교병원 내과) ;
  • 박성준 (제주대학교병원 병리과) ;
  • 고명주 (제주대학교병원 영상의학과)
  • Received : 2021.05.17
  • Accepted : 2021.06.29
  • Published : 2022.05.01
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Abstract

Aspergillus tracheobronchitis, an uncommon form of invasive pulmonary aspergillosis, is characterized by the development of a pseudomembrane, ulcers, or an obstruction that is predominantly confined to the tracheobronchial tree. Pseudomembranous Aspergillus tracheobronchitis is the most severe form of Aspergillus tracheobronchitis, and only a few cases have been reported in Korea. We report the characteristic chest CT findings in a patient diagnosed with pseudomembranous Aspergillus tracheobronchitis after bronchoscopy and successfully treated by proper antifungal treatment.

아스페르길루스 기관-기관지염은 침습성 폐 아스페르길루스의 매우 드문 형태 중 하나로 주로 기관-기관지에 국한되어 거짓막이나 궤양을 형성하거나 폐쇄를 유발하는 질환이다. 거짓막성 아스페르길루스 기관-기관지염은 아스페르길루스 기관-기관지염 중 가장 심한 형태로 대게는 면역저하자에서 발병하고 예후가 좋지 않다. 현재까지 이 질환에 대해 몇 개의 국내보고가 있으나 영상 소견에 대한 보고는 드물다. 이에 저자들은 기관지경 검사상 거짓막성 아스페르길루스 기관-기관지염으로 진단되고 적절한 항진균제 투여로 성공적으로 치료된 환자의 증례를 특징적인 영상 소견과 함께 보고하고자 한다.

Keywords

References

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