Recurrent respiratory papillomatosis complicated by aspergillosis: a case report with review of literature.
Pulmonary extension of recurrent invasive papillomatosis often poses a diagnostic challenge to the examining bronchoscopist, pathologist, radiologist and surgeon, in distinguishing it as a benign lesion that is confined to the mucosa and extending along the branches of the tracheobronchial tree from true invasion of a malignant tumor. We document here a case of recurrent invasive respiratory papillomatosis which initially presented as a laryngeal papilloma. After multiple recurrences, the patient presented with bronchopulmonary involvement, complicated by invasive aspergillosis in a non-immunocompromised setting.
Kuruvilla
S
S
Sri Ramachandra Medical College and Research Institute, Porur, Chennai, India. drsarahkuruvilla@rediffmail.com
Saldanha
R
R
Joseph
L D
LD
D000293:Adolescent; D001228:Aspergillosis / Q000150:complications / Q000175:diagnosis / Q000821:virology*; D003937:Diagnosis, Differential; D006801:Humans; D017964:Itraconazole / Q000008:administration & dosage / Q000627:therapeutic use; D008172:Lung Diseases, Fungal / Q000175:diagnosis / Q000188:drug therapy / Q000821:virology*; D008175:Lung Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D008297:Male; D010212:Papilloma / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy; D012008:Recurrence; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D017964:Itraconazole