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Multiple pulmonary Aspergillus fumigatus cysts and cavities that disappeared with anti‐fungal agents
A 26‐year‐old man with a 10‐year history of asthma was admitted to our hospital with a six‐week history of dry cough and slight fever. We observed the left pneumothorax with multiple cysts and cavities and performed partial cystectomy of the left upper lung. Y‐shaped mycelia were detected in the res...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley & Sons, Ltd
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5980321/ https://www.ncbi.nlm.nih.gov/pubmed/30065838 http://dx.doi.org/10.1002/rcr2.327 |
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author | Saitou, Miwako Suzuki, Tomoko Niitsuma, Katsunao |
author_facet | Saitou, Miwako Suzuki, Tomoko Niitsuma, Katsunao |
author_sort | Saitou, Miwako |
collection | PubMed |
description | A 26‐year‐old man with a 10‐year history of asthma was admitted to our hospital with a six‐week history of dry cough and slight fever. We observed the left pneumothorax with multiple cysts and cavities and performed partial cystectomy of the left upper lung. Y‐shaped mycelia were detected in the resected tissue, and Aspergillus fumigatus was cultured. Pulmonary aspergillosis was diagnosed from the histopathological and bacteriological findings, and the patient demonstrated positive immunological reactions to A. fumigatus. After administration of an intravenous antifungal agent for one month and an oral antifungal agent for another three months, all cysts and cavities disappeared. Aspergillus infection usually results from saprophytic growth within pre‐existing cavities. In this case, multiple cysts and cavities may have been caused by Aspergillus, possibly through a check‐valve mechanism. |
format | Online Article Text |
id | pubmed-5980321 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | John Wiley & Sons, Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-59803212018-08-01 Multiple pulmonary Aspergillus fumigatus cysts and cavities that disappeared with anti‐fungal agents Saitou, Miwako Suzuki, Tomoko Niitsuma, Katsunao Respirol Case Rep Case Reports A 26‐year‐old man with a 10‐year history of asthma was admitted to our hospital with a six‐week history of dry cough and slight fever. We observed the left pneumothorax with multiple cysts and cavities and performed partial cystectomy of the left upper lung. Y‐shaped mycelia were detected in the resected tissue, and Aspergillus fumigatus was cultured. Pulmonary aspergillosis was diagnosed from the histopathological and bacteriological findings, and the patient demonstrated positive immunological reactions to A. fumigatus. After administration of an intravenous antifungal agent for one month and an oral antifungal agent for another three months, all cysts and cavities disappeared. Aspergillus infection usually results from saprophytic growth within pre‐existing cavities. In this case, multiple cysts and cavities may have been caused by Aspergillus, possibly through a check‐valve mechanism. John Wiley & Sons, Ltd 2018-08-01 /pmc/articles/PMC5980321/ /pubmed/30065838 http://dx.doi.org/10.1002/rcr2.327 Text en © 2018 The Authors. Respirology Case Reports published by John Wiley & Sons Australia, Ltd on behalf of The Asian Pacific Society of Respirology This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Reports Saitou, Miwako Suzuki, Tomoko Niitsuma, Katsunao Multiple pulmonary Aspergillus fumigatus cysts and cavities that disappeared with anti‐fungal agents |
title | Multiple pulmonary Aspergillus fumigatus cysts and cavities that disappeared with anti‐fungal agents |
title_full | Multiple pulmonary Aspergillus fumigatus cysts and cavities that disappeared with anti‐fungal agents |
title_fullStr | Multiple pulmonary Aspergillus fumigatus cysts and cavities that disappeared with anti‐fungal agents |
title_full_unstemmed | Multiple pulmonary Aspergillus fumigatus cysts and cavities that disappeared with anti‐fungal agents |
title_short | Multiple pulmonary Aspergillus fumigatus cysts and cavities that disappeared with anti‐fungal agents |
title_sort | multiple pulmonary aspergillus fumigatus cysts and cavities that disappeared with anti‐fungal agents |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5980321/ https://www.ncbi.nlm.nih.gov/pubmed/30065838 http://dx.doi.org/10.1002/rcr2.327 |
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