Pseudomembranous aspergillus tracheobronchitis superimposed on post-tuberculosis tracheal stenosis.
Pseudomembranous aspergillus tracheobronchitis superimposed on post-tuberculosis tracheal stenosis has not been previously reported. In the patient described in this case report, the airway obstruction was worsened by aspergillus infection which responded to antifungal therapy and debridement of pseudomembranous tissues by rigid bronchoscopic procedures. A silicone stent was successfully placed in the trachea to restore airway patency when there was no more evidence of tracheobronchial aspergillosis. This case raises the questions of whether, how and when to restore airway patency in patients with tracheal stenosis and concurrent aspergillus tracheobronchitis.
Pornsuriyasak
Prapaporn
P
Division of Pulmonary and Critical Care, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Murgu
Septimiu
S
Colt
Henri
H
D000402:Airway Obstruction / Q000382:microbiology* / Q000473:pathology / Q000628:therapy; D000935:Antifungal Agents / Q000627:therapeutic use; D001991:Bronchitis / Q000382:microbiology* / Q000473:pathology / Q000628:therapy; D001999:Bronchoscopy; D003646:Debridement / Q000379:methods; D005260:Female; D006801:Humans; D055744:Invasive Pulmonary Aspergillosis / Q000150:complications* / Q000473:pathology / Q000628:therapy; D008875:Middle Aged; D015607:Stents; D014135:Tracheal Stenosis / Q000150:complications* / Q000382:microbiology / Q000473:pathology / Q000628:therapy; D014136:Tracheitis / Q000382:microbiology* / Q000473:pathology / Q000628:therapy; D014397:Tuberculosis, Pulmonary / Q000150:complications*
D000935:Antifungal Agents