title: Sudden atelectasis and respiratory failure in a neutropenic patient: atypical presentation of pseudomembranous necrotizing bronchial aspergillosis.
abstract: Pseudomembranous necrotizing bronchial aspergillosis (PNBA) is a rare form of invasive aspergillosis with a very poor prognosis. The symptoms are non-specific, and the necrotizing plugs cause airway obstruction. Atelectasis and respiratory failure can be the initial manifestations. Recently, we treated an immunocompromised patient with PNBA, who presented with a sudden onset of atelectasis and acute respiratory failure. There were no preceding signs except for a mild cough and one febrile episode. Bronchoscopy revealed PNBA, and Aspergillus nidulans was cultured from the bronchial wash.
authors.affiliation: Department of Internal Medicine, Korea University Medical Center, Seoul, Korea.
authors.forename: Ji Yun
authors.initials: JY
authors.lastname: Noh
authors.forename: Seok Jin
authors.initials: SJ
authors.lastname: Kim
authors.forename: Eun Hae
authors.initials: EH
authors.lastname: Kang
authors.forename: Bo Kyoung
authors.initials: BK
authors.lastname: Seo
authors.forename: Kyoung Ho
authors.initials: KH
authors.lastname: Rho
authors.forename: Yang-Seok
authors.initials: YS
authors.lastname: Chae
authors.forename: Byung Soo
authors.initials: BS
authors.lastname: Kim
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D055744:Invasive Pulmonary Aspergillosis / Q000150:complications* / Q000175:diagnosis*; D015470:Leukemia, Myeloid, Acute / Q000150:complications; D009503:Neutropenia / Q000150:complications; D001261:Pulmonary Atelectasis / Q000209:etiology*; D012131:Respiratory Insufficiency / Q000209:etiology*