Invasive Aspergillosis-Associated Pulmonary Artery Pseudoaneurysm A Rare Cause of Hemoptysis in an HIV-Infected Patient

Autor: Sabayev, Vladimir, Savel, Richard H., Schiteanu, Angela, Asnis, Deborah, Veloudios, Alice
Zdroj: Clinical Pulmonary Medicine; September 2005, Vol. 12 Issue: 5 p297-300, 4p
Abstrakt: We report the case of a 43-year-old HIV-positive male who developed a pulmonary artery pseudoaneurysm as a complication of invasive aspergillosis. The patient was treated with amphotericin B with clinical improvement, and was discharged to a nursing home on voriconazole. He died of unrelated complications of his end-stage HIV 4 months later. Invasive pulmonary aspergillosis is a recognized complication in immunocompromised patients. Pulmonary artery pseudoaneurysm in the setting of invasive aspergillosis has not been described in patients with AIDS. Hemoptysis in these settings is usually a preterminal event. In our case, the management was conservative with clinical improvement.
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