Unusual case of chronic cavitary pulmonary aspergillosis presenting as spontaneous pneumothorax in an immunocompromised man
Autor: | Animesh Ray, Naval K. Vikram, Surabhi Vyas, Swasthi S Kumar |
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Rok vydání: | 2023 |
Předmět: |
Septate
Male Pathology medicine.medical_specialty Aspergillus fumigatus 03 medical and health sciences chemistry.chemical_compound Immunocompromised Host 0302 clinical medicine medicine Humans 030212 general & internal medicine Lung Hyaline biology medicine.diagnostic_test business.industry Chronic pulmonary aspergillosis Pneumothorax General Medicine medicine.disease biology.organism_classification respiratory tract diseases Chronic cough Bronchoalveolar lavage chemistry CCPA Pulmonary Aspergillosis medicine.symptom business 030217 neurology & neurosurgery |
Zdroj: | BMJ case reports. 14(8) |
ISSN: | 1757-790X |
Popis: | Chronic cavitary pulmonary aspergillosis (CCPA) is a slow destructive type of chronic pulmonary aspergillosis, characterised by multiple pulmonary cavities that develop and expand over several months or years. Pleural involvement in the form of pneumothorax has been rarely reported in CCPA. We report such an unusual case of an immunocompromised male, with a history of chronic cough and fever, presenting with acute onset of shortness of breath. Chest imaging showed bilateral multiple cavitating nodules, ground glass opacities and dense right middle lobe consolidations and right-sided pneumothorax. Bronchoalveolar lavage (BAL) showed septate hyaline hyphae on KOH (potassium hydroxide) staining and fungal culture grew Aspergillus fumigatus. BAL and serum galactomanan were positive and serum IgG for A. fumigatus was 58 MgA/L (0–40MgA/L) confirming the cause of spontaneous secondary pneumothorax in our patient as CCPA. |
Databáze: | OpenAIRE |
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