Cavitating invasive pulmonary aspergillosis visualized and diagnosed by ultrathin bronchoscopy.
A definitive diagnosis of invasive pulmonary aspergillosis (IPA), which usually occurs in immunocompromised patients, is often difficult. We report two cases of cavitating IPA in a peripheral pulmonary region in patients who were receiving corticosteroids, in whom the cavity was successfully visualized and sampled during ultrathin bronchoscopy. Ultrathin bronchoscopy provides a new option for definitive diagnosis of cavitating IPA.
Oki
Masahide
M
Departments of Respiratory Medicine, Nagoya Medical Center, Nagoya, Japan. Electronic address: Masahideo@aol.com.
Saka
Hideo
H
Departments of Respiratory Medicine, Nagoya Medical Center, Nagoya, Japan.
Sako
Chieko
C
Departments of Respiratory Medicine, Nagoya Medical Center, Nagoya, Japan.
Tanaka
Shigeru
S
Departments of Respiratory Medicine, Nagoya Medical Center, Nagoya, Japan.
Kawata
Yoshihiro
Y
Departments of Respiratory Medicine, Nagoya Medical Center, Nagoya, Japan.
Kitagawa
Chiyoe
C
Departments of Respiratory Medicine, Nagoya Medical Center, Nagoya, Japan.
Minemura
Nobuyoshi
N
Internal Medicine, Nagoya Medical Center, Nagoya, Japan.
D000368:Aged; D001228:Aspergillosis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D001707:Biopsy, Needle; D020680:Bronchoscopes; D001999:Bronchoscopy; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging / Q000473:pathology; D008172:Lung Diseases, Fungal / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D008875:Middle Aged; D011859:Radiography