Case of pseudomembranous necrotizing tracheobronchial aspergillosis in an immunocompetent host.
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.
Oh
Hyo-Jeong
HJ
Department of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea.
Kim
Hak-Ryul
HR
Hwang
Ki-Eun
KE
Kim
So-Young
SY
Ahn
Sun-Ho
SH
Yang
Sei-Hoon
SH
Jeong
Eun-Taik
ET
D000328:Adult; D001228:Aspergillosis / Q000150:complications / Q000175:diagnosis / Q000276:immunology*; D001706:Biopsy; D001991:Bronchitis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000276:immunology*; D001999:Bronchoscopy; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D009336:Necrosis / Q000150:complications / Q000175:diagnosis / Q000276:immunology; D012131:Respiratory Insufficiency / Q000175:diagnosis / Q000209:etiology; D014057:Tomography, X-Ray Computed; D014136:Tracheitis / Q000150:complications / Q000175:diagnosis / Q000276:immunology*