Abstract
Invasive pulmonary aspergillosis (IPA) is a severe disease, and can be found not only in immunocompromised patients but also in critically ill patients and those with chronic obstructive disease (COPD). Species that cause aspergillosis enter the host most commonly through the lungs via the inhalation of conidia. This report is about case of a male who presented with endobronchial aspergillosis with recurrent hemoptysis. A 29-year-old male presented to the emergency department of our institution with recurrent hemoptysis. Chest X-ray revealed nonhomogeneous consolidation in both the upper lungs and emphysematous basal regions as well as a cavity in in the left upper lung. His chest computed tomography (CT) scan revealed a cavity that appeared like a halo sign in the left upper lung and a nodule in the intracavity, indicating a fungus ball lesion. The bronchoscopy revealed a yellowish-brown fungus-like lesion in the left B3 bronchial branch. Histopathological examination of the specimen obtained via forceps biopsy revealed the presence of aspergillosis hyphae. Surgery procedures were not performed due to the wide lesion of the lung. The patient then received oral itraconazole (200 mg, twice daily), which was continued as an outpatient treatment. The patient's condition improved following a treatment.
| Original language | English |
|---|---|
| Title of host publication | Medical Case Reports |
| Publisher | Nova Science Publishers, Inc. |
| Pages | 213-217 |
| Number of pages | 5 |
| ISBN (Electronic) | 9781536168853 |
| ISBN (Print) | 9781536168846 |
| Publication status | Published - 14 Feb 2020 |
Keywords
- Halo sign
- Hemoptysis
- Invasive lung aspergilloma