Fatal Hemoptysis due to Chronic Cavitary Pulmonary Aspergillosis Complicated by Nontuberculous Mycobacterial Tuberculosis
Joint Authors
Lampaditis, Ioannis
Skoufaras, Vasilios
Saridis, Nikolaos
Doulgerakis, Nikolaos
Tsonis, Grigorios
Kokkonouzis, Ioannis
Athanasopoulos, Ioannis
Source
Case Reports in Infectious Diseases
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-07-28
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
A 51-year-old man, with a history of severe COPD and bilateral pneumothorax, who was under treatment for pulmonary tuberculosis due to mycobacterium avium, was admitted due to high-grade fever, weight loss, cough, and production of purulent sputum, for almost one month without any special improvement despite adequate antibiotics treatment in outpatient setting.
A CT scan revealed multiple consolidations, fibrosis, scaring, and cavitary lesions in both upper lobes with newly shadows which were fungus balls inside them.
Aspergillus flavius was isolated in three sputum samples, a diagnosis of chronic cavitary pulmonary aspergillosis was made, and treatment with intravenous amphotericin B was started.
An initially clinical improvement was noted, and a first episode of minor hemoptysis was treated with conservative measures.
Unfortunately a second major episode of hemoptysis occurred and he died almost immediately.
Aspergilloma is defined as the presence of a fungus ball inside a preexisting pulmonary cavity or dilated airway and is one of the clinical conditions associated with the clinical spectrum of pulmonary colonization.
Tuberculosis is the most common underling disease.
Hemoptysis is the most common symptom.
Antifungal antibiotics, surgical interventions, bronchial arteries embolization, and intracavity infusion of antibiotics have been proposed without always adequate sufficiency.
American Psychological Association (APA)
Kokkonouzis, Ioannis& Athanasopoulos, Ioannis& Doulgerakis, Nikolaos& Tsonis, Grigorios& Lampaditis, Ioannis& Saridis, Nikolaos…[et al.]. 2011. Fatal Hemoptysis due to Chronic Cavitary Pulmonary Aspergillosis Complicated by Nontuberculous Mycobacterial Tuberculosis. Case Reports in Infectious Diseases،Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-502073
Modern Language Association (MLA)
Kokkonouzis, Ioannis…[et al.]. Fatal Hemoptysis due to Chronic Cavitary Pulmonary Aspergillosis Complicated by Nontuberculous Mycobacterial Tuberculosis. Case Reports in Infectious Diseases No. 2011 (2011), pp.1-4.
https://search.emarefa.net/detail/BIM-502073
American Medical Association (AMA)
Kokkonouzis, Ioannis& Athanasopoulos, Ioannis& Doulgerakis, Nikolaos& Tsonis, Grigorios& Lampaditis, Ioannis& Saridis, Nikolaos…[et al.]. Fatal Hemoptysis due to Chronic Cavitary Pulmonary Aspergillosis Complicated by Nontuberculous Mycobacterial Tuberculosis. Case Reports in Infectious Diseases. 2011. Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-502073
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-502073