title: [A case of invasive aspergillosis in an amyloidosis patient].
abstract: A sixty-four-year-old male patient was admitted on 13 April 1995 with diagnosis of old pulmonary tuberculosis and pulmonary aspergilloma. He developed a tarry stool and frequent loose motion in early November 1995. Histopathological findings of endoscopic biopsy from the duodenum and colon were suggestive of secondary amyloidosis. In spite of antibiotic and steroid pulse, he developed shock, and massive infiltration shadow appeared in chest X-ray. The patient died on 29 December 1995. The postmortem examination in the specimens of the lung, heart, kidney, liver, and spleen revealed hyphae of Aspergillus sp. and in the specimens of the lung, kidney, spleen, esophagus, adrenal gland, and thyroid revealed amyloid. He was finally diagnosed as invasive aspergillosis with secondary amyloidosis.
authors.affiliation: The Second Department of Internal Medicine, Nagasaki University, School of Medicine Sakamoto, Nagasaki, 852-8501, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Kawamura
authors.forename: S
authors.initials: S
authors.lastname: Maesaki
authors.forename: E
authors.initials: E
authors.lastname: Sasaki
authors.forename: H
authors.initials: H
authors.lastname: Kakeya
authors.forename: K
authors.initials: K
authors.lastname: Hashiguchi
authors.forename: K
authors.initials: K
authors.lastname: Mitsutake
authors.forename: Y
authors.initials: Y
authors.lastname: Miyazaki
authors.forename: K
authors.initials: K
authors.lastname: Tomono
authors.forename: T
authors.initials: T
authors.lastname: Tashiro
authors.forename: S
authors.initials: S
authors.lastname: Kohno
mesh_terms: D000686:Amyloidosis / Q000209:etiology*; D001228:Aspergillosis / Q000150:complications*; D006801:Humans; D016867:Immunocompromised Host; D008172:Lung Diseases, Fungal / Q000150:complications*; D008297:Male; D008875:Middle Aged; D009894:Opportunistic Infections / Q000150:complications*; D014397:Tuberculosis, Pulmonary / Q000150:complications