Chronic necrotizing pulmonary aspergillosis.
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.
Silva
Eduardo Felipe Barbosa
EF
Unidade de Broncoesofagologia, Hospital de Base do Distrito Federal, Brasília, DF, Brazil. efbsbpt@sbpt.org.br
Barbosa
Melânio de Paula
Mde P
Oliveira
Marco Antônio Alves de
MA
Martins
Rosane Rodrigues
RR
Fontinele e Silva
Jefferson
J
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