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A Case of Endobronchial Aspergilloma Associated with Foreign Body in Immunocompetent Patient without Underlying Lung Disease

  • Jung, Seung Won (Division of Tuberculosis and Pulmonology, Department of Internal Medicine, Kwangju Christian Hospital) ;
  • Kim, Moo Woong (Division of Tuberculosis and Pulmonology, Department of Internal Medicine, Kwangju Christian Hospital) ;
  • Cho, Soo Kyung (Division of Tuberculosis and Pulmonology, Department of Internal Medicine, Kwangju Christian Hospital) ;
  • Kim, Hyun Uk (Division of Tuberculosis and Pulmonology, Department of Internal Medicine, Kwangju Christian Hospital) ;
  • Lee, Dong Cheol (Division of Tuberculosis and Pulmonology, Department of Internal Medicine, Kwangju Christian Hospital) ;
  • Yoon, Byeong Kab (Division of Tuberculosis and Pulmonology, Department of Internal Medicine, Kwangju Christian Hospital) ;
  • Jeong, Jong Pil (Division of Tuberculosis and Pulmonology, Department of Internal Medicine, Kwangju Christian Hospital) ;
  • Ko, Young Choon (Division of Tuberculosis and Pulmonology, Department of Internal Medicine, Kwangju Christian Hospital)
  • 투고 : 2012.08.17
  • 심사 : 2012.09.24
  • 발행 : 2013.05.30

초록

Aspergillus causes a variety of clinical syndromes in the lung including tracheobronchial aspergillosis, invasive aspergillosis, chronic necrotizing pulmonary aspergillosis, allergic bronchopulmonary aspergillosis, and aspergilloma. Aspergilloma usually results from ingrowths of colonized Aspergillus in damaged bronchial tree, pulmonary cyst or cavities of patients with underlying lung diseases. There are a few reports on endobronchial aspergilloma without underlying pulmonary lesion. We have experienced a case of endobronchial aspergilloma associated with foreign body developed in an immunocompetent patient without underlying lung diseases. A 59-year-old man is being hospitalized with recurring hemoptysis for 5 months. X-ray and computed tomography scans of chest showed a nodular opacity in superior segment of left lower lobe. Fiberoptic bronchoscopy revealed an irregular, mass-like, brownish material which totally obstructed the sub-segmental bronchus and a foreign body in superior segmental bronchus of the lower left lobe. Histopathologic examinations of biopsy specimen revealed fungal hyphae, characteristic of Aspergillus species.

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참고문헌

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피인용 문헌

  1. Chronic necrotizing pulmonary aspergillosis in an immunocompetent patient: report of a rare case vol.42, pp.3, 2013, https://doi.org/10.1007/s15010-013-0575-z
  2. Endobronchial aspergilloma: A case report and literature review vol.14, pp.1, 2017, https://doi.org/10.3892/etm.2017.4540
  3. Endobronchial aspergilloma-a comprehensive literature review with focus on diagnosis and treatment modalities vol.39, pp.4, 2013, https://doi.org/10.1007/s10096-019-03726-5