A Case of Invasive Aspergillosis Characterized by the Formation of Large Bronchial Cast in Patient with Acute Myelogenous Leukemia.
- Author:
Dong Woo HYUN
1
;
Dong Hwan KIM
;
Jin Tae JUNG
;
Sang Kyun SOHN
;
Kyu Bo LEE
Author Information
1. Department of Internal Medicine, Kyungpook National University, College of Medicine, Taegu, Korea.
- Publication Type:Case Report
- Keywords:
Invasive aspergillosis;
Bronchial cast
- MeSH:
Airway Obstruction;
Amphotericin B;
Aspergillosis*;
Aspergillosis, Allergic Bronchopulmonary;
Aspergillus;
Asthma;
Bronchiectasis;
Bronchitis, Chronic;
Causality;
Communicable Diseases;
Cystic Fibrosis;
Humans;
Immunocompromised Host;
Induction Chemotherapy;
Leukemia, Myeloid, Acute*;
Neutropenia;
Pneumonia
- From:Journal of the Korean Cancer Association
1998;30(5):1021-1025
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Invasive aspergillosis is a life-threatening infectious disease in immunocompromised patients. Prolonged neutropenia is the most important predisposing factor. Bronchial casts are generally associated with pneumonia, bronchiectasis, asthma, chronic bronchitis, allergic bronchopulmonary aspergillosis and mucoviscidosis. We experienced.a case of invasive aspergillosis characterized by the formation of large bronchial cast in patient with acute myelogenous leukemia(AML) during induction chemotherapy. The patient expectorated a large bronchial cast without airway obstruction. Aspergillus was disclosed in intraluminal surface of bronchial cast. The patient's conditions improved after amphotericin B therapy and expectoration of a large bronchial cast.