Case of Pseudomembranous Necrotizing Tracheobronchial Aspergillosis in an Immunocompetent Host.
10.3904/kjim.2006.21.4.279
- Author:
Hyo Jeong OH
1
;
Hak Ryul KIM
;
Ki Eun HWANG
;
So Young KIM
;
Sun Ho AHN
;
Sei Hoon YANG
;
Eun Taik JEONG
Author Information
1. Department of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea. kshryj@wonkwang.ac.kr
- Publication Type:Case Report
- Keywords:
Aspergillosis;
Immunocompetence;
Respiratory insufficiency
- MeSH:
Tracheitis/complications/diagnosis/*immunology;
Tomography, X-Ray Computed;
Respiratory Insufficiency/diagnosis/etiology;
Necrosis/complications/diagnosis/immunology;
Male;
*Immunocompromised Host;
Humans;
Fatal Outcome;
Diagnosis, Differential;
Bronchoscopy;
Bronchitis/diagnosis/*immunology/radiography;
Biopsy;
Aspergillosis/complications/diagnosis/*immunology;
Adult
- From:The Korean Journal of Internal Medicine
2006;21(4):279-282
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 44-year-old Korean male died of rapidly progressive respiratory failure and refractory hypoxemia in 8 days after being admitted with a fever and dyspnea. The patient was diagnosed with pseudomembranous necrotizing tracheobronchial aspergillosis by fibroptic bronchoscopy and it was not related to an invasion of the pulmonary parenchyma. To the best of our knowledge, this case represents a patient with pseudomembranous necrotizing tracheobronchial aspergillosis that developed in an immunocompetent host, rapidly resulting in airway obstruction with acute respiratory failure and refractory hypoxemia without an invasion of the pulmonary parenchyma.