title: Case of pseudomembranous necrotizing tracheobronchial aspergillosis in an immunocompetent host.
abstract: 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.
authors.affiliation: Department of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea.
authors.forename: Hyo-Jeong
authors.initials: HJ
authors.lastname: Oh
authors.forename: Hak-Ryul
authors.initials: HR
authors.lastname: Kim
authors.forename: Ki-Eun
authors.initials: KE
authors.lastname: Hwang
authors.forename: So-Young
authors.initials: SY
authors.lastname: Kim
authors.forename: Sun-Ho
authors.initials: SH
authors.lastname: Ahn
authors.forename: Sei-Hoon
authors.initials: SH
authors.lastname: Yang
authors.forename: Eun-Taik
authors.initials: ET
authors.lastname: Jeong
mesh_terms: 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*