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A Case of Tracheobronchial Aspergillosis Resolved Spontaneously in an Immunocompetent Host

A 47-year old man visited our hospital because of purulent sputum for 3 months. Chest X-ray showed destruction of both the upper lungs, and bronchoscopy revealed inflammatory change with whitish plaque on the left main bronchus through upper division of the left upper lobe. Tracheobronchial aspergil...

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Detalles Bibliográficos
Autores principales: Lee, Hwa Young, Kang, Hyeon Hui, Kang, Ji Young, Kim, Sung Kyoung, Lee, Su Hyun, Chung, Yoon Yung, Kang, Hye Seon, Kwon, Hee Sun, Moon, Hwa Sik, Lee, Sang Haak
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Academy of Tuberculosis and Respiratory Diseases 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3517947/
https://www.ncbi.nlm.nih.gov/pubmed/23236320
http://dx.doi.org/10.4046/trd.2012.73.5.278
Descripción
Sumario:A 47-year old man visited our hospital because of purulent sputum for 3 months. Chest X-ray showed destruction of both the upper lungs, and bronchoscopy revealed inflammatory change with whitish plaque on the left main bronchus through upper division of the left upper lobe. Tracheobronchial aspergillosis (TBA) was finally diagnosed as a result of histologic and microbiologic examination. However, he went abroad without medication before the diagnosis was made and visited again 10 months later. Follow-up bronchoscopy showed complete regression of the previously noted endobronchial lesion. We describe this case to consider the role of antifungal treatment in immunocompetent hosts, as well as to discuss a rare condition; TBA resolved spontaneously.