Airway Obstruction and Respiratory Failure Due to Aspergillus Tracheobronchitis / 대한구급학회지
The Korean Journal of Critical Care Medicine
; : 67-71, 2013.
Article
in Ko
| WPRIM
| ID: wpr-646454
Responsible library:
WPRO
ABSTRACT
Invasive aspergillosis is a serious threat and a leading cause of death in immunocompromised patients. Aspergillus tracheobronchitis is an infrequent but severe form of invasive pulmonary aspergillos in which the fungal infection is entirely or predominantly confined to the tracheobronchial tree. We report an extraordinary case of acute airway obstruction and respiratory failure due to Aspergillus tracheobronchitis in an immunocompromised patient. Fiberoptic bronchoscopy revealed extensive obstruction of both the main and lobar bronchus with yellowish nodules strongly adhered to the bronchial wall; both histologic examination and culture of these nodules revealed Aspergillus fumigatus. Even with early detection of an intraluminal growth of Aspergillus and prompt institution of antifungal therapy, the patient died of refractory hypoxemia a few days later. This report shows that Aspergillus tracheobronchitis should be considered in immunocompromised patients with suspected lung infection even when the main radiographic finding is atelectasis.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Aspergillosis
/
Aspergillus
/
Aspergillus fumigatus
/
Respiratory Insufficiency
/
Pulmonary Atelectasis
/
Bronchi
/
Bronchoscopy
/
Cause of Death
/
Immunocompromised Host
/
Airway Obstruction
Type of study:
Screening_studies
Limits:
Humans
Language:
Ko
Journal:
The Korean Journal of Critical Care Medicine
Year:
2013
Type:
Article