Chronic necrotizing pulmonary aspergillosis is one of the forms of pulmonary aspergillosis typically found in mildly immunocompromised patients. We report the case of a female patient with complaints of chronic productive cough, fever and asthenia. She reported previous corticosteroid use. A CT scan of the chest revealed consolidation with interposed cavitation in the right upper lobe. Fiberoptic bronchoscopy revealed purulent fluid within the tracheobronchial tree and an endobronchial exophytic lesion. The results of the biopsy of that lesion and the transbronchial biopsy were consistent with aspergillosis. Based on the clinical, radiological and histopathological findings, the patient was diagnosed with chronic necrotizing pulmonary aspergillosis. Treated with itraconazole, the patient presented a favorable clinical-radiological evolution.
Chronic necrotizing pulmonary aspergillosis.
Eduardo Felipe Barbosa Silva,Melânio de Paula Barbosa,Marcos Antônio de Oliveira,Rosane Rodrigues Martins,Jefferson Fontinele e Silva
Published 2009 in Jornal Brasileiro de Pneumologia
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- Publication year
2009
- Venue
Jornal Brasileiro de Pneumologia
- Publication date
Unknown publication date
- Fields of study
Medicine
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Semantic Scholar, PubMed
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