A Case of Broncholithiasis caused by Aspergillus.
10.4046/trd.1999.46.1.136
- Author:
Mi Young KWON
1
;
Yoon Ju OH
;
Jeong Seon RYU
;
Seung Min KWAK
;
Hong Lyeol LEE
;
Chul Ho CHO
;
Hyung Keun ROH
;
Joon Mee KIM
Author Information
1. Department of Internal Medicine, College of Medicine, Inha University, Sungnam, Korea.
- Publication Type:Case Report
- Keywords:
broncholithiasis;
Aspergillus;
Right middle lobe
- MeSH:
Aspergillosis;
Aspergillus*;
Bronchi;
Cough;
Cytochrome P-450 CYP1A1;
Fever;
Fistula;
Hemoptysis;
Histoplasmosis;
Humans;
Lymph Nodes;
Middle Aged;
Pathology;
Spouses;
Thorax;
Tomography, X-Ray Computed;
Tuberculosis
- From:Tuberculosis and Respiratory Diseases
1999;46(1):136-141
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Broncholith is a calcified lymph node which partially or completely erodes into the bronchial lumen and broncholithiasis is a relatively rare condition which related to late tissue response to healing granulomatous pulmonary infections, most commonly histoplasmosis or tuberculosis. The prominent symptoms of broncholithiasis are coughing followed by hemoptysis and symptoms related to bronchial obstruction. The complications include bronchoesophageal fistula and aortotracheal fistula. We report one case of broncholithiasis caused by Aspergillus. The case was a 53 year-old house wife whose chief complaints were recurrent fever, chill and malaise. The chest film revealed an ovoid hazziness on the right middle lobe and chest CT scan showed consolidation of lateral segment of right middle lobe with calcified small low attenuated lesion in right middle lobe bronchus. Aspergillosis confirmed by pathology after bronchoscopic removal of impacted Aspergillus containing muddy plug from lateral segmental branch of right middle lobe bronchus.
