Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Aspergillus Tracheobronchitis in Non-Immunocompromised Patient

Aspergillus 기관-기관지염 1예

  • Chung, Hyo-Young (Department of Internal Medicine, College of Medicine, Gyeong Sang National University) ;
  • Kim, Hwi-Jong (Department of Internal Medicine, College of Medicine, Gyeong Sang National University) ;
  • Kim, Soo-Hee (Department of Internal Medicine, College of Medicine, Gyeong Sang National University) ;
  • Lee, Jong-Deog (Department of Internal Medicine, College of Medicine, Gyeong Sang National University) ;
  • Hwang, Young-Sil (Department of Internal Medicine, College of Medicine, Gyeong Sang National University)
  • 정효영 (경상대학교 의과대학 내과학교실) ;
  • 김휘종 (경상대학교 의과대학 내과학교실) ;
  • 김수희 (경상대학교 의과대학 내과학교실) ;
  • 이종덕 (경상대학교 의과대학 내과학교실) ;
  • 황영실 (경상대학교 의과대학 내과학교실)
  • Published : 2000.10.30
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Abstract

The aspergillus tracheobronchitis is distinctive manifestation of invasive aspergillosis, in which infection is limited completely or predominantly to the tracheobronchial tree. It accounts for about 7 to 10 percent of cases of invasive disease. Grossly, such disease may take the mucosal exudate and obstruct partially the airway lumen or completely the occlusive mucous/fungus plugs. Microscopically, the superficial portion of the airway wall is acutely inflamed and contain fungal hyphae. However, infection is often limited to the mucosa. We report a case of aspergillus tracheobrochitis in a 54 year-old man who presented cough, progressive dyspnea with wheezing, and mucus plug. Bronchoscopy showed mucosal exudate and plug. Bronchoscopic biopsy showed aspergillus hyphae and inflammation in the mucosa. He was successfully treated with itraconazole.

Aspergillus에 의한 기관-기관지염은 침습성 폐 국 균증의 한 분류로써 드문 질환이다. 저자들은 aspergillus에 의한 기관-기관지염증 aspergillus 기관-기관지염을 경험하고 성공적으로 치료하였기에 문헌고찰과 함께 보고하는 바이다.

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