Invasive Pulmonary Aspergillosis in Asymptomatic Patient

Rahila Usman; Kamran Hamid; Jaideep Draira; Saifullah Askani

Invasive Pulmonary Aspergillosis in Asymptomatic Patient

Rahila Usman, Kamran Hamid, Jaideep Draira, Saifullah Askani

Abstract

Abstract:

Aspergillous pulmonary infection shows variable pattern of involvement. The two main complications of pulmonary aspergillosis are angioinvasion resulting in hemorrhagic infarcts and airway invasion resulting in bronchiolitis and bronchopneumonia. A 24 years old asymptomatic young male, came for chest X-ray for medical fitness which revealed a large right hilar mass. CBC and ESR were normal. CT scan chest with contrast demonstrated a tubular branching solid lesion in right perihilar region, causing dilatation of bronchi giving glove finger appearance with hemorrhagic component. Bronchoscopy showed thick mucoid secretions in right upper lobe. Fungal culture showed growth of Aspergillous flavum.

Key words:

Asymptomatic, invasive pulmonary aspergillosis

Full Text:

PDF

References

References:

Kawamura S, Maesaki S, Tomono K, Tashiro T, Kohno S. Clinical evaluation of 61 patients with pulmonary Aspergilloma. Intern Med: 2000; 39:209–12.

Aspergilloma and residual tuberculous cavities-the results of a resurvey. Tubercle: 1970; 51:227–45.

Miller WT. Aspergillosis: a disease with many faces. SeminRoentgenol: 1996; 31:52–66.

Clancy CJ, Nguyen MH. Acute community-acquired pneumonia due to aspergillus in presumably immunocompitent hosts: clues for recognition of a rare but fatal disease. Chest: 1998; 114:629–34.

Ward S, Heyneman L, Lee MJ, Leung AN, Hansell DM, Muller NL. Accuracy of CT in the diagnosis of allergic bronchopulmonary aspergillosis in asthmatic patients. AJR Am J Roentgenol: 1999; 173:937–42.

Zimmerman RA, Miller WT. Pulmonary aspergillosis. Am J Roentgenol Radium Ther Nucl Med: 1970; 109:505–15.

Soubani AO, Chandrasekar PH. The Clinical Spectrum of pulmonary aspergillosis. Chest: 2002; 121:1988-99.

Eun-Young Kang, Dae Hyun Kim, Ok Hee Woo, Jung-Ah Choi, Yu-Whan Oh, Chul Hwan Kim. Pulmonary Aspergillosis in immunocompetent hosts without underlying lesions of the lung:radiologic and pathologic findings. AJR Am J Roentgenol: 2002; 178:1395–99.

Bennett JE. Aspergillosis. In: Braunwald E, Fauci AS, Kasper DL, Hauser SL, Longo DL, Jameson JL, eds. Harrison’s principles of internal medicine,15th ed. New York: McGraw-Hill, 2001:1178–1179.

Refbacks

There are currently no refbacks.