title: Chronic necrotizing pulmonary aspergillosis.
abstract: Chronic necrotizing pulmonary aspergillosis is one of the forms of pulmonary aspergillosis typically found in mildly immunocompromised patients. We report the case of a female patient with complaints of chronic productive cough, fever and asthenia. She reported previous corticosteroid use. A CT scan of the chest revealed consolidation with interposed cavitation in the right upper lobe. Fiberoptic bronchoscopy revealed purulent fluid within the tracheobronchial tree and an endobronchial exophytic lesion. The results of the biopsy of that lesion and the transbronchial biopsy were consistent with aspergillosis. Based on the clinical, radiological and histopathological findings, the patient was diagnosed with chronic necrotizing pulmonary aspergillosis. Treated with itraconazole, the patient presented a favorable clinical-radiological evolution.
authors.affiliation: Unidade de Broncoesofagologia, Hospital de Base do Distrito Federal, Brasília, DF, Brazil. efbsbpt@sbpt.org.br
authors.forename: Eduardo Felipe Barbosa
authors.initials: EF
authors.lastname: Silva
authors.forename: Melânio de Paula
authors.initials: Mde P
authors.lastname: Barbosa
authors.forename: Marco Antônio Alves de
authors.initials: MA
authors.lastname: Oliveira
authors.forename: Rosane Rodrigues
authors.initials: RR
authors.lastname: Martins
authors.forename: Jefferson
authors.initials: J
authors.lastname: Fontinele e Silva
mesh_terms: D001706:Biopsy; D020680:Bronchoscopes; D005260:Female; D006801:Humans; D055744:Invasive Pulmonary Aspergillosis / Q000175:diagnosis*; D008875:Middle Aged; D055100:Optical Fibers; D014057:Tomography, X-Ray Computed