Aspergilloma in a pulmonary abscess--the first manifestation of malignant bronchial obstruction.
We report a case of aspergilloma in a pulmonary abscess being the first manifestation of malignant bronchial obstruction. In our case, only the autopsy revealed that planocellular carcinoma was the real cause of aspergilloma. Malignant bronchial obstruction finally resulted in pulmonary abscess with secondary fungal colonization. The co-existence of these pathologies is uncommon, and the situation we report is extremely rare. Even in cases when there are no radiological, bronchoscopical or cytological signs of malignancy, as in our case, careful observation of these patients is necessary. Surgical approach should be considered whenever possible.
Kukuljan
Melita
M
Department of Radiology, University Hospital Rijeka, Rijeka, Croatia. melita.kukuljan1@ri.htnet.hr
Grgurević
Emina
E
Stemberga
Valter
V
Cuculić
Drazen
D
Coklo
Miran
M
Jerković
Romana
R
Bosnar
Alan
A
D000368:Aged; D000402:Airway Obstruction / Q000000981:diagnostic imaging / Q000209:etiology*; D001228:Aspergillosis / Q000000981:diagnostic imaging / Q000209:etiology*; D001984:Bronchial Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging; D002294:Carcinoma, Squamous Cell / Q000150:complications* / Q000000981:diagnostic imaging; D017809:Fatal Outcome; D006801:Humans; D008169:Lung Abscess / Q000000981:diagnostic imaging / Q000382:microbiology*; D008172:Lung Diseases, Fungal / Q000000981:diagnostic imaging / Q000209:etiology*; D008297:Male; D014057:Tomography, X-Ray Computed