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Invasive Aspergillus Tracheobronchitis Presenting as an Intraluminal Mass - A Rare Case


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1 Department of Pulmonary Medicine, DM Wayanad Institute of Medical Sciences, Wayanad, Kerala, India
     

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Aspergillus species are capable of producing invasive disease in patients with impaired defence. When trachea and bronchi are the sole sites of Aspergillus infection, it is called invasive aspergillus tracheobronchitis. This occurs in a small percentage of patients who have generalized or local immune disruption. This is a case of isolated invasive Aspergillus tracheobronchitis presenting as intraluminal mass mimicking bronchogenic carcinoma. Bronchoscopic biopsy showed profuse growth of Aspergillus fumigatus and the patient was treated with an antifungal drug. Repeat bronchoscopy after one month showed no evidence of Apergillus growth and there is no evidence of underlying malignancy either. We report this case because of its rarity.

Keywords

Aspergillus Tracheobronchitis, Pseudomembranous Tracheobronchitis, Voriconazole.
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  • Invasive Aspergillus Tracheobronchitis Presenting as an Intraluminal Mass - A Rare Case

Abstract Views: 274  |  PDF Views: 2

Authors

R. Dheeraj
Department of Pulmonary Medicine, DM Wayanad Institute of Medical Sciences, Wayanad, Kerala, India
S. Amitha
Department of Pulmonary Medicine, DM Wayanad Institute of Medical Sciences, Wayanad, Kerala, India
S. Sanjeev
Department of Pulmonary Medicine, DM Wayanad Institute of Medical Sciences, Wayanad, Kerala, India
Mohammed Aslam
Department of Pulmonary Medicine, DM Wayanad Institute of Medical Sciences, Wayanad, Kerala, India
Ravindran Chetambath
Department of Pulmonary Medicine, DM Wayanad Institute of Medical Sciences, Wayanad, Kerala, India

Abstract


Aspergillus species are capable of producing invasive disease in patients with impaired defence. When trachea and bronchi are the sole sites of Aspergillus infection, it is called invasive aspergillus tracheobronchitis. This occurs in a small percentage of patients who have generalized or local immune disruption. This is a case of isolated invasive Aspergillus tracheobronchitis presenting as intraluminal mass mimicking bronchogenic carcinoma. Bronchoscopic biopsy showed profuse growth of Aspergillus fumigatus and the patient was treated with an antifungal drug. Repeat bronchoscopy after one month showed no evidence of Apergillus growth and there is no evidence of underlying malignancy either. We report this case because of its rarity.

Keywords


Aspergillus Tracheobronchitis, Pseudomembranous Tracheobronchitis, Voriconazole.

References