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

Jung SW, Kim MW, Cho SK, Kim HU, Lee DC, Yoon BK, Jeong JP, Ko YC - Tuberc Respir Dis (Seoul) (2013)

Bottom Line: A 59-year-old man is being hospitalized with recurring hemoptysis for 5 months.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.

View Article: PubMed Central - PubMed

Affiliation: Division of Tuberculosis and Pulmonology, Department of Internal Medicine, Kwangju Christian Hospital, Gwangju, Korea.

ABSTRACT
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.

No MeSH data available.


Related in: MedlinePlus

Histopathologic examination showed numerous hyphae branching with approximately 45° angle, characteristic of Aspergillus species (H&E stain, ×100).
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Figure 3: Histopathologic examination showed numerous hyphae branching with approximately 45° angle, characteristic of Aspergillus species (H&E stain, ×100).

Mentions: Chest X-ray showed a nodular opacity in left hilar field (Figure 1A). Computed tomography (CT) scan of chest revealed a 2.4×1.8 cm-sized spiculated mass and surround small nodular opacities in superior segment of left lower lobe (Figure 1B). Fiberoptic bronchoscopy re vealed an irregular mass-like, brownish material which totally obstruct subsegmental bronchus (Figure 2A) and a foreign body in superior segmental bronchus of left lower lobe (Figure 2B). We repeatedly tried removing a foreign body, but could not succeed because it was impossible to be held by forceps or snare within narrow lumen. Histopathologic examination of bronchoscopic biopsy specimen showed mostly fungal hyphae (Figure 3).


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

Jung SW, Kim MW, Cho SK, Kim HU, Lee DC, Yoon BK, Jeong JP, Ko YC - Tuberc Respir Dis (Seoul) (2013)

Histopathologic examination showed numerous hyphae branching with approximately 45° angle, characteristic of Aspergillus species (H&E stain, ×100).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3672416&req=5

Figure 3: Histopathologic examination showed numerous hyphae branching with approximately 45° angle, characteristic of Aspergillus species (H&E stain, ×100).
Mentions: Chest X-ray showed a nodular opacity in left hilar field (Figure 1A). Computed tomography (CT) scan of chest revealed a 2.4×1.8 cm-sized spiculated mass and surround small nodular opacities in superior segment of left lower lobe (Figure 1B). Fiberoptic bronchoscopy re vealed an irregular mass-like, brownish material which totally obstruct subsegmental bronchus (Figure 2A) and a foreign body in superior segmental bronchus of left lower lobe (Figure 2B). We repeatedly tried removing a foreign body, but could not succeed because it was impossible to be held by forceps or snare within narrow lumen. Histopathologic examination of bronchoscopic biopsy specimen showed mostly fungal hyphae (Figure 3).

Bottom Line: A 59-year-old man is being hospitalized with recurring hemoptysis for 5 months.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.

View Article: PubMed Central - PubMed

Affiliation: Division of Tuberculosis and Pulmonology, Department of Internal Medicine, Kwangju Christian Hospital, Gwangju, Korea.

ABSTRACT
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.

No MeSH data available.


Related in: MedlinePlus