A Case of Bronchial Stump Aspergillosis

기관지 단단 국균증 1예

  • Lee, Hee-Seung (Department of Internal Medicine, College of Medicine, Inje University, Sanggye Paik Hospital) ;
  • Ryu, Jung-Cheol (Department of Internal Medicine, College of Medicine, Inje University, Sanggye Paik Hospital) ;
  • Park, Tae-Koon (Department of Internal Medicine, College of Medicine, Inje University, Sanggye Paik Hospital) ;
  • Park, Tae-Joon (Department of Internal Medicine, College of Medicine, Inje University, Sanggye Paik Hospital) ;
  • Yang, Eun-Soo (Department of Internal Medicine, College of Medicine, Inje University, Sanggye Paik Hospital) ;
  • Choi, Soo-Jeon (Department of Internal Medicine, College of Medicine, Inje University, Sanggye Paik Hospital) ;
  • Kwak, Young-Tae (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Inje University, Sanggye Paik Hospital)
  • 이희승 (인제대학교 의과대학 내과학교실) ;
  • 류종철 (인제대학교 의과대학 내과학교실) ;
  • 박태군 (인제대학교 의과대학 내과학교실) ;
  • 박태준 (인제대학교 의과대학 내과학교실) ;
  • 양은수 (인제대학교 의과대학 내과학교실) ;
  • 최수전 (인제대학교 의과대학 내과학교실) ;
  • 곽영태 (인제대학교 의과대학 흉부외과학교실)
  • Published : 1994.06.30

Abstract

Bronchial stump aspergillosis(BSA) is an infrequent disease developing on the bronchial stump after lobectomy with the silk as a suture material. The silk induces inflammatory reaction, granuloma formation, secondary infection of the bronchial stump and leads to BSA. If a patient complains of cough, hemoptysis, expectoration of suture material several months or years after lobectomy with the silk, BSA should be considered as one of causative mechanisms. Bronchoscopic identification of silk thread with aspergillosis and its removal is necessary. We report a case of BSA in a 59-year-old man with review of the literature.

저자들은 폐결핵으로 우중엽절제술 후 발생한 기관지 단단 국균증을 기관지 내시경으로 진단, 치료한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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